| Mrs Kathleen Waggoner Petty, LCSW, CSAC | |
|
19441 Golf Vista Plz, Suite 110, Lansdowne, VA 20176-8269 | |
| (703) 402-3080 | |
| Not Available |
| Full Name | Mrs Kathleen Waggoner Petty |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 19441 Golf Vista Plz, Lansdowne, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811206204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathleen Waggoner Petty, LCSW, CSAC 2607 Deerdell Ln, Reston, VA 20191-2114 Ph: (703) 476-5822 | Mrs Kathleen Waggoner Petty, LCSW, CSAC 19441 Golf Vista Plz, Suite 110, Lansdowne, VA 20176-8269 Ph: (703) 402-3080 |
Terry Nicole Ferree, RESIDENT COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 19420 Golf Vista Plz Ste 330, Lansdowne, VA 20176 Phone: 571-733-9736 | |
Mrs. Anindita Dwivedi, Counselor Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave Ste 101, Lansdowne, VA 20176 Phone: 703-679-1389 | |
Shahaan Tara Ramazani, LPC, RPT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19420 Golf Vista Plz Ste 330, Lansdowne, VA 20176 Phone: 571-577-0099 | |
Nicole Loren Lefman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19420 Golf Vista Plz Ste 250, Lansdowne, VA 20176 Phone: 804-207-6737 | |
Tai Feng, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19420 Golf Vista Plz Ste 250, Lansdowne, VA 20176 Phone: 804-207-6737 | |
Dr. Ryan Carboneau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 44135 Woodridge Pkwy Ste 260, Lansdowne, VA 20176 Phone: 571-207-9756 | |
Faith Tunstall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave Ste 316, Lansdowne, VA 20176 Phone: 571-831-0999 Fax: 571-291-4270 |