Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHLEEN WAGGONER PETTY, LCSW, CSAC
Active Sole ProprietorMRS. KATHLEEN WAGGONER PETTY, LCSW, CSAC is a Mental Health Counselor healthcare provider located in LANSDOWNE, Virginia. NPI 1811206204 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LANSDOWNE, VA
Registration Details
- NPI Number
- 1811206204
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2010 (15.841846605252 yrs)
- Last Updated
- Oct 1, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
19441 GOLF VISTA PLZSUITE 110LANSDOWNE, VA, 201768269Browse VA providers · Browse ZIP 20176
- Phone
- 7034023080
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in LANSDOWNE, VA
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE C SMITH | LPC | 1992817118 |
| SHAHAAN TARA RAMAZANI | LPC, RPT, NCC | 1215583927 |
| TAI FENG | — | 1326613274 |
| NICOLE LOREN LEFMAN | — | 1235854480 |
| FAITH TUNSTALL | LPC | 1437937521 |
| OLIVIA KING | — | 1780463703 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.