Healthcare Provider Details

I. General information

NPI: 1306480272
Provider Name (Legal Business Name): KURT WILLIAM DROSTE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2019
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 GARRISONVILLE RD
STAFFORD VA
22554-1574
US

IV. Provider business mailing address

292 GARRISONVILLE RD
STAFFORD VA
22554-1574
US

V. Phone/Fax

Practice location:
  • Phone: 540-445-1803
  • Fax: 540-318-1483
Mailing address:
  • Phone: 540-445-1803
  • Fax: 540-318-1483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701012178
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701012178
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701012178
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: