Individual
MS. MALINDA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-4455
(703) 838-5070
Mailing address
3800 POWELL LN, APT #429, FALLS CHURCH, VA 22041-3687
(703) 838-4455
(703) 838-5070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003389
VA
101YP2500X
Professional Counselor
PRC1262
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110
CARE FIRST BCBS
VA
01
—
188585
ANTHEM HEALTHKEEPERS
VA
01
—
298943
AMERIGROUP VIRGINIA INC.
VA
Enumeration date
01/10/2007
Last updated
07/08/2007
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