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Individual

DR. DOROTHY MARGARET PENNANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC, CSAC, CP

Contact information

Practice address
133 PARK ST NE, VIENNA, VA 22180-4666
(757) 814-7182
Mailing address
133 PARK ST NE, VIENNA, VA 22180-4666
(571) 866-3717

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102268
VA
101YM0800X
Mental Health Counselor
321077
101YP2500X
Professional Counselor
Primary
PRC14962
DC

Other

Enumeration date
08/15/2017
Last updated
04/18/2024
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