Individual
MS. ANNETTA SERENA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12721 DARBY BROOK CT, SUITE 102, WOODBRIDGE, VA 22192-2408
(703) 497-1771
(703) 497-1225
Mailing address
8140 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5698
(703) 330-9933
(703) 368-8454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004674
VA
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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