Moore, Katherine Madsen
Moore, Katherine Madsen is an individual health care provider with primary practice located at 19441 Golf Vista Plz Suite 110, Leesburg VA 20176-8269. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Moore, Katherine Madsen can be contacted via phone (703) 554-3260.Contact Information
Primary practice address
19441 Golf Vista Plz Suite 110
Leesburg VA 20176-8269
Phone: (703) 554-3260
Fax: (703) 729-8836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004211 | Virginia |
Profile Details
| NPI number | 1124225537 |
|---|---|
| LBN Legal business name | Moore, Katherine Madsen |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Oct 16th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124225537 | NPPES |
| Virginia | Other | 11758310 | CAQH ID |
| Virginia | Other | 0701004211 | CAQH ID |
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