MRS. Kathleen Waggoner Petty LCSW, CSAC

  • NPI 1811206204
According to our database, the NPI number for MRS. Kathleen Waggoner Petty LCSW, CSAC is 1811206204 and activated since 13 years ago. MRS. Kathleen Waggoner Petty LCSW, CSAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 19441 Golf Vista Plz, Lansdowne, VA 20176. You can also contact MRS. Kathleen Waggoner Petty LCSW, CSAC via telephone number is (703) 402-3080. Provider NPI information was last updated on 10/01/2010.

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Overview of MRS. Kathleen Waggoner Petty LCSW, CSAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/01/2010
  • Last updated: 10/01/2010

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 2607 Deerdell Ln
    Reston, VA 20191
  • Phone: 703-476-5822
  • Fax:

Provider Practice Location

  • Address: 19441 Golf Vista Plz
    Suite 110
    Lansdowne, VA 20176
  • Phone: 703-402-3080
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Kathleen Waggoner Petty LCSW, CSAC?
  • A: The npi number for MRS. Kathleen Waggoner Petty LCSW, CSAC is 1811206204.
  • Q: What are MRS. Kathleen Waggoner Petty LCSW, CSAC's specialties?
  • A: MRS. Kathleen Waggoner Petty LCSW, CSAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MRS. Kathleen Waggoner Petty LCSW, CSAC?
  • A: The medical license number for MRS. Kathleen Waggoner Petty LCSW, CSAC is unknow and issued in unknow in USA.
  • Q: Where is MRS. Kathleen Waggoner Petty LCSW, CSAC practice location?
  • A: MRS. Kathleen Waggoner Petty LCSW, CSAC is practicing at 19441 Golf Vista Plz, Lansdowne, VA 20176.
  • Q: How to contact MRS. Kathleen Waggoner Petty LCSW, CSAC?
  • A: You can contact MRS. Kathleen Waggoner Petty LCSW, CSAC via 703-402-3080.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Sports Medicine
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