Provider Demographics
NPI:1851522734
Name:HANNAH, KATHRYN DELLINGER (LPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:DELLINGER
Last Name:HANNAH
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 1:1815 LOVERS GAP RD
Mailing Address - Street 2:PO BOX 105
Mailing Address - City:VANSANT
Mailing Address - State:VA
Mailing Address - Zip Code:24656
Mailing Address - Country:US
Mailing Address - Phone:276-597-7250
Mailing Address - Fax:276-498-7046
Practice Address - Street 1:1815 LOVERS GAP RD
Practice Address - Street 2:
Practice Address - City:VANSANT
Practice Address - State:VA
Practice Address - Zip Code:24656
Practice Address - Country:US
Practice Address - Phone:276-597-7250
Practice Address - Fax:276-498-7046
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004617101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional