Individual provider · Type 1 NPI

Janice Petty, LPC, LSATP

Professional Counselor · Alexandria, VA

NPI number 1477909455 Active

Practice location

4660 Kenmore Ave Ste 701
Alexandria, VA 22304-1306

Call (571) 354-0338 Map

Fax (571) 386-2663

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0718000324 (VA)
Professional Counselor Primary 101YP2500X0701006463 (VA)
Addiction (Substance Use Disorder) Counselor 101YA0400X071010213 (VA)

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About NPI 1477909455

Janice Petty, LPC, LSATP's National Provider Identifier is 1477909455, issued on May 10, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alexandria, VA. The record was last updated on Jan 3, 2020.