Katherine Marie Illgen, LCSW, CCTP

NPI #1174150429 in Yorktown, Virginia

Provider Information

NPI Number
1174150429
Entity Type
Individual
Name
Katherine Marie Illgen, LCSW, CCTP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, CCTP
Enumeration Date
Mar 26, 2020
Last Updated
Sep 15, 2022

Practice Location

Address
6515 GEORGE WASHINGTON MEM HWY
ZIP Code
23692-2182
Phone
(757) 877-9140

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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