Individual
SKYE LORREN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 CHAIN BRIDGE RD, FAIRFAX, VA 22030-4102
(703) 672-1474
Mailing address
453 CARLISLE DR STE B, HERNDON, VA 20170-5611
(202) 596-8303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701015228
VA
101YM0800X
Mental Health Counselor
0704016477
VA
Other
Enumeration date
01/23/2024
Last updated
08/22/2025
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