MRS. Kathryn Gwaltney Nicholas, LPC

NPI #1548613912 in Suffolk, Virginia

Provider Information

NPI Number: 1548613912
Entity Type: Individual
Name: MRS. Kathryn Gwaltney Nicholas, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jul 20, 2016
Last Updated: Dec 8, 2016

Practice Location

Address: 129 N SARATOGA ST
Address 2: SUITE 1
City: Suffolk
State: Virginia
ZIP Code: 23434-5255
Phone: (757) 539-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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