Individual
MS. BRENNA MARTIN DICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ESQ.
Contact information
Practice address
1105 GREENWAY RD, ALEXANDRIA, VA 22308-1237
(407) 697-1148
Mailing address
1105 GREENWAY RD, ALEXANDRIA, VA 22308-1237
(407) 697-1148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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