Provider Demographics
NPI:1326104928
Name:TORDELLA, DENISE U (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:U
Last Name:TORDELLA
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2802
Mailing Address - Country:US
Mailing Address - Phone:703-706-0191
Mailing Address - Fax:703-706-0192
Practice Address - Street 1:332 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2802
Practice Address - Country:US
Practice Address - Phone:703-706-0191
Practice Address - Fax:703-706-0192
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003492101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor