Individual
PAIGE HENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-0701008497
Contact information
Practice address
10001 DALMATION DR, CHARLES CITY, VA 23030-3404
(720) 276-8219
Mailing address
10001 DALMATION DR, CHARLES CITY, VA 23030-3404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008497
VA
Other
Enumeration date
10/09/2014
Last updated
12/22/2023
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