Individual
SHANNON KATHLEEN LANZEROTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3413 MILL CREEK RD, HAYMARKET, VA 20169-1918
(623) 910-8203
Mailing address
3413 MILL CREEK RD, HAYMARKET, VA 20169-1918
(623) 910-8203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012463
VA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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