Provider Demographics
NPI:1417409830
Name:HARLOW, KATHRYN A (LPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:HARLOW
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 1:3152 CANTRELL LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1909
Mailing Address - Country:US
Mailing Address - Phone:410-440-1695
Mailing Address - Fax:
Practice Address - Street 1:129 S ROYAL ST STE 6
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3335
Practice Address - Country:US
Practice Address - Phone:410-440-1695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional