MEDICARE: KATRINA M HUNDLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0704018387	VA

General Provider Information

NPI Number	:	1205713971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA M HUNDLEY

Provider Business Mailing Address
First Line	:	3512 FAIRWAY VIEW DR
Second Line	:
City	:	RINER
State	:	VA
Zip	:	24149-2242
Country	:	US
Telephone Number	:	540-392-7805
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 S FRANKLIN ST STE A-1
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-3547
Country	:	US
Telephone Number	:	540-392-5374
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2025
Last Update Date	:	08/16/2025

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