Doctor Name: | DELORES L SYMONETTE |
NPI Number: | 1003986100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701002836 |
Business Practice Address: | 2325 Dulles Corner Blvd Suite 500 Herndon, VA - 201714674 |
Business Phone Number: | 7037886816 |
Business Fax Number: | 7037886575 |
Mailing Address: | 2325 Dulles Corner Blvd, Suite 500 HERNDON |
State: | VA |
Postal Code: | 201714674 |
Phone Number: | 7037886816 |
Fax Number: | 7037886575 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701002836 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |