Individual
MRS. NANCY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
350 POPLAR DR, PETERSBURG, VA 23805-9367
(804) 733-6874
Mailing address
4887 OLD MANSION RD, LUNENBURG, VA 23952-2107
(434) 264-2610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010457
VA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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