Provider Demographics
NPI:1003986100
Name:SYMONETTE, DELORES L (LPC)
Entity Type:Individual
Prefix:
First Name:DELORES
Middle Name:L
Last Name:SYMONETTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 DULLES CORNER BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4674
Mailing Address - Country:US
Mailing Address - Phone:703-788-6816
Mailing Address - Fax:703-788-6575
Practice Address - Street 1:2325 DULLES CORNER BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-4674
Practice Address - Country:US
Practice Address - Phone:703-788-6816
Practice Address - Fax:703-788-6575
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002836101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health