Individual
VINCENT DAVENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., NCC
Contact information
Practice address
6842 ELM ST, MC LEAN, VA 22101-3891
(703) 307-7860
Mailing address
1610 WOODMOOR LN, MC LEAN, VA 22101-5159
(703) 307-7860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704014494
VA
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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