Provider Demographics
NPI:1346310166
Name:THORN, KATHERINE ROMNEY (LPC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ROMNEY
Last Name:THORN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1350 BEVERLY RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3917
Mailing Address - Country:US
Mailing Address - Phone:703-288-9595
Mailing Address - Fax:703-288-9545
Practice Address - Street 1:1350 BEVERLY RD
Practice Address - Street 2:SUITE 240
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3917
Practice Address - Country:US
Practice Address - Phone:703-288-9595
Practice Address - Fax:703-288-9545
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003301101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional