Doctor Name: | MS. KASIA B. DAUM |
NPI Number: | 1033214028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 0701003706 |
Business Practice Address: | 130 S Madison St Middleburg, VA - 201172600 |
Business Phone Number: | 5406875897 |
Business Fax Number: | |
Mailing Address: | 3271 Halfway Rd, THE PLAINS |
State: | VA |
Postal Code: | 201981827 |
Phone Number: | 5402535355 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701003706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |