Individual
KATHLEEN ANN FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD LPC
Contact information
Practice address
5506 PAYNE DR, KING GEORGE, VA 22485
(540) 663-0574
(540) 663-0576
Mailing address
PO BOX 149, DAHLGREN, VA 22448-0149
(540) 663-0574
(540) 663-0576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003741
VA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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