Petra Dajevic Gross, LPC
Counselor, Professional in Newport News, VA. Individual provider (NPI-1).
NPI number1982259032
StatusActive
Last updated in NPPESNov 20, 2021
Details
- NPI
- 1982259032
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Petra Dajevic Gross
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2019
- Certification date
- Nov 20, 2021
- Last updated
- Nov 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701008498 | VA | Yes |
Other names
- Petra Dajevic (Former Name)
Practice location
700 Tech Center Pkwy Ste 200-17Newport News, VA 23606-3075
Phone 757-690-1992
Mailing address
700 Tech Center Pkwy Ste 200-17Newport News, VA 23606-3075
Phone 757-690-1992
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