Provider Information for 1154159861
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KATE TUBBS LPC
Sex: Female
NPI: 1154159861
Last Updated: 2024-07-24
Certification Date: 2022-11-04
Certification Date: 2022-11-04
Details
| Name | Value | ||||||||
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| NPI | 1154159861 | ||||||||
| Enumeration Date | 2024-07-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7500 YORKTOWN DR NORFOLK, VA 23505-3514 United States Phone: 757-633-3610 | Fax: | ||||||||
| Primary Practice Address | 397 LITTLE NECK RD STE 230 VIRGINIA BEACH, VA 23452-5765 United States Phone: 757-633-3610 | Fax: | ||||||||
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