Organization
PENELOPE DONOVAN, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE J DONOVAN (LPC)
(571) 249-3843
Entity
Organization
Contact information
Practice address
300 N WASHINGTON ST, 102, FALLS CHURCH, VA 22046-3438
(571) 249-3843
Mailing address
300 N WASHINGTON ST, 102, FALLS CHURCH, VA 22046-3438
(571) 249-3843
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
07010055900
VA
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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