Individual
DR. KATHRYN GOSS ATANASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC, CSAC
Contact information
Practice address
FARLEY IOP WILLIAMSBURG PLACE, 5477 MOORETOWN ROAD, WILLIAMSBURG, VA 23188
(757) 280-1194
Mailing address
3493 FRANCES BERKELEY, WILLIAMSBURG, VA 23188-1334
(757) 232-7108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103039
VA
101YP2500X
Professional Counselor
Primary
0701007579
VA
Other
Enumeration date
09/06/2018
Last updated
05/28/2020
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