Individual provider · Type 1 NPI

Mary Willoughby Prentiss, LPC

Professional Counselor · Gloucester, VA

NPI number 1710587795 Active

Practice location

9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162

Call (804) 695-8120 Map

Fax (804) 695-8122

Mailing address

106 Rebecca Dr
Seaford, VA 23696-2313

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701010029 (VA)

Professional Counselor: Definition to come...

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About NPI 1710587795

Mary Willoughby Prentiss, LPC's National Provider Identifier is 1710587795, issued on Oct 28, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gloucester, VA. The record was last updated on Jul 6, 2026.