Individual
DENNIS EDWARDS SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8119 HOLLAND RD, ALEXANDRIA, VA 22306-3135
(703) 799-2861
(703) 799-2822
Mailing address
8119 HOLLAND RD, ALEXANDRIA, VA 22306-3135
(703) 799-2861
(703) 799-2822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701007762
VA
101YP2500X
Professional Counselor
Primary
0701007762
VA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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