Individual
MS. NANCY WHITELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11250 ROGER BACON DR, SUITE 7, RESTON, VA 20191
(703) 689-3537
Mailing address
2008 TURTLE POND DR, RESTON, VA 20191-4046
(703) 860-9526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001081
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701001081
VIRGINIA DEPT OF HEALTH
VA
Enumeration date
07/13/2007
Last updated
07/13/2007
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