Doctor Name: | MS. NANCY WHITELEY |
NPI Number: | 1013116789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701001081 |
Business Practice Address: | 11250 Roger Bacon Dr Suite 7 Reston, VA - 20191 |
Business Phone Number: | 7036893537 |
Business Fax Number: | |
Mailing Address: | 2008 Turtle Pond Dr, RESTON |
State: | VA |
Postal Code: | 201914046 |
Phone Number: | 7038609526 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701001081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |