Individual
CHARMAINE RENEE DOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 20151-1270
(855) 326-8094
Mailing address
906 NE 13TH PL, CAPE CORAL, FL 33909-1510
(202) 330-6034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701009977
VA
101YM0800X
Mental Health Counselor
MH21279
FL
101YP2500X
Professional Counselor
86663
TX
101YP2500X
Professional Counselor
PRC2000013
DC
Other
Enumeration date
11/03/2020
Last updated
05/19/2025
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