Provider Demographics
NPI:1306480272
Name:DROSTE, KURT WILLIAM
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:WILLIAM
Last Name:DROSTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 ALMOND DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-2538
Mailing Address - Country:US
Mailing Address - Phone:910-382-8340
Mailing Address - Fax:
Practice Address - Street 1:251 ALMOND DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-2538
Practice Address - Country:US
Practice Address - Phone:910-382-8340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor