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Individual

DR. DAPHNE H INGENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LPC, NCC

Contact information

Practice address
300 PRESTON AVE, SUITE 206, CHARLOTTESVILLE, VA 22902-5044
(662) 607-1732
Mailing address
192 BROOKWOOD DR, CHARLOTTESVILLE, VA 22902-6092
(662) 607-1732

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005477
VA

Other

Enumeration date
08/07/2013
Last updated
08/12/2013
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