Annetta Serena Benjamin, LPC
Counselor, Mental Health in Woodbridge, VA. Individual provider (NPI-1).
NPI number1982937207
StatusActive
Last updated in NPPESSep 18, 2009
Details
- NPI
- 1982937207
- Entity type
- Individual (NPI-1)
- Name
- Ms. Annetta Serena Benjamin
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2009
- Last updated
- Sep 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0701004674 | VA | Yes |
Practice location
12721 Darby Brook CtSuite 102
Woodbridge, VA 22192-2408
Phone 703-497-1771 · Fax 703-497-1225
Mailing address
8140 Ashton AveSuite 200
Manassas, VA 20109-5698
Phone 703-330-9933 · Fax 703-368-8454
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