Provider Demographics
NPI:1144578576
Name:ONSUREZ-PANNELL, VERONICA (LPC 0701005632)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:ONSUREZ-PANNELL
Suffix:
Gender:F
Credentials:LPC 0701005632
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11403
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24543-5024
Mailing Address - Country:US
Mailing Address - Phone:434-709-1984
Mailing Address - Fax:
Practice Address - Street 1:155 DEER RUN RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2863
Practice Address - Country:US
Practice Address - Phone:434-709-1984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA507345101YA0400X
VA0701005632101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)