Healthcare Provider Details

I. General information

NPI: 1033734587
Provider Name (Legal Business Name): KATHARINE MARIE CALABRO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHARINE MARIE POE LPC

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 WASHINGTON HIGHWAY
ASHLAND VA
23005-7646
US

IV. Provider business mailing address

12300 WASHINGTON HIGHWAY
ASHLAND VA
23005-7646
US

V. Phone/Fax

Practice location:
  • Phone: 804-365-4222
  • Fax:
Mailing address:
  • Phone: 804-365-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: