Provider Demographics
NPI:1740565522
Name:KURILLA, VIRGINIA (LPC)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:
Last Name:KURILLA
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 1:4545 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE 309
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-6042
Mailing Address - Country:US
Mailing Address - Phone:202-997-5032
Mailing Address - Fax:202-747-7632
Practice Address - Street 1:4545 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 309
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-6042
Practice Address - Country:US
Practice Address - Phone:202-997-5032
Practice Address - Fax:202-747-7632
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC13921101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional