Provider Demographics
NPI:1033214028
Name:DAUM, KASIA B (LPC)
Entity Type:Individual
Prefix:MS
First Name:KASIA
Middle Name:B
Last Name:DAUM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3271 HALFWAY RD
Mailing Address - Street 2:
Mailing Address - City:THE PLAINS
Mailing Address - State:VA
Mailing Address - Zip Code:20198-1827
Mailing Address - Country:US
Mailing Address - Phone:540-253-5355
Mailing Address - Fax:
Practice Address - Street 1:130 S MADISON ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:VA
Practice Address - Zip Code:20117-2600
Practice Address - Country:US
Practice Address - Phone:540-687-5897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003706101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health