Provider Demographics
NPI:1184700130
Name:ANSTINE, KATHLEEN GAIL (LPC)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:GAIL
Last Name:ANSTINE
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 1:89 PATTERSON LN.
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:VA
Mailing Address - Zip Code:22952-2421
Mailing Address - Country:US
Mailing Address - Phone:540-943-9772
Mailing Address - Fax:
Practice Address - Street 1:421 W. MAIN STREET
Practice Address - Street 2:NEW DIMENSIONS COUNSELING CENTER
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-4550
Practice Address - Country:US
Practice Address - Phone:540-942-5847
Practice Address - Fax:540-942-5847
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health