Individual
ANNETTA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 NESTORS PL, STAFFORD, VA 22556-4649
(443) 827-1986
Mailing address
104 NESTORS PL, STAFFORD, VA 22556-4649
(443) 827-1986
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010332
VA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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