Provider Demographics
NPI:1659716264
Name:BUCHANAN, KATELIN SENSIBAUGH (LPC)
Entity Type:Individual
Prefix:
First Name:KATELIN
Middle Name:SENSIBAUGH
Last Name:BUCHANAN
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 1:3108 S HAYES ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2336
Mailing Address - Country:US
Mailing Address - Phone:703-919-7155
Mailing Address - Fax:
Practice Address - Street 1:3108 S HAYES ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2336
Practice Address - Country:US
Practice Address - Phone:703-919-7155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional