Provider Demographics
NPI:1235892894
Name:METCALF, KARA (MA, RESIDENT IN MFT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:METCALF
Suffix:
Gender:F
Credentials:MA, RESIDENT IN MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12596 MOUNT HERMON RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-7810
Mailing Address - Country:US
Mailing Address - Phone:434-981-5119
Mailing Address - Fax:
Practice Address - Street 1:9410 ATLEE COMMERCE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-8208
Practice Address - Country:US
Practice Address - Phone:804-798-5327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0730000576101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health