| Doctor Name: | KATHERINE MANN |
| NPI Number: | 1720349749 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0701005204 |
| Business Practice Address: | 1975 Elk Hill Rd Goochland, VA - 230633318 |
| Business Phone Number: | 8044574866 |
| Business Fax Number: | |
| Mailing Address: | 1975 Elk Hill Rd, GOOCHLAND |
| State: | VA |
| Postal Code: | 230633318 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2012 |
| NPI Last Update Date: | 06/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701005204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |