Provider Demographics
NPI:1700603875
Name:GURRI, CATHERINE GRACE (LCGC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:GRACE
Last Name:GURRI
Suffix:
Gender:F
Credentials:LCGC
Other - Prefix:
Other - First Name:CATI
Other - Middle Name:GRACE
Other - Last Name:GURRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCGC
Mailing Address - Street 1:9119 STONY POINT PKWY APT 4202
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-2076
Mailing Address - Country:US
Mailing Address - Phone:703-901-9945
Mailing Address - Fax:804-828-7094
Practice Address - Street 1:1101 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5008
Practice Address - Country:US
Practice Address - Phone:804-628-4517
Practice Address - Fax:804-828-7094
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0139000745170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS