Healthcare Provider Details

I. General information

NPI: 1972129989
Provider Name (Legal Business Name): KATHERINE E. YEUTTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N PENDLETON ST
MIDDLEBURG VA
20117-2681
US

IV. Provider business mailing address

PO BOX 962
MIDDLEBURG VA
20118-0962
US

V. Phone/Fax

Practice location:
  • Phone: 540-687-0289
  • Fax:
Mailing address:
  • Phone: 540-687-0289
  • 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: