person
Danietta Charles, LPC
Mental Health Counselor in Fairfax, Virginia
NPI 1659003622

Danietta Charles is a Mental Health Counselor based in Tysons Corner, VA and is specialized in Mental Health. Danietta Charles practices in Fairfax, VA and has the professional credentials of LPC. The NPI Number for Danietta Charles is 1659003622 and holds a License No. 0701011580 (Virginia).

The current practice location address for Danietta Charles is 9677 Main St, Fairfax, VA and can be reached out via phone at 301-767-1733.

Location: 9677 Main St, Fairfax, VA, 22102-3968
person
Provider Profile Details
NPI Number
1659003622
Provider Name
Danietta Charles
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
9677 Main St, Fairfax, VA, 22102-3968
Phone Number
301-767-1733
Fax Number
Provider Enumeration Date
06/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9677 Main St
City
State
Zip
22031-3763
Phone Number
301-767-1733
Fax Number
person
Provider Business Mailing Address Details
Address
9677 Main St
City
State
Zip
22031-3763
Phone Number
301-767-1733
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701011580 (Virginia)
Definition
Definition to come...
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