Provider Demographics
NPI:1417231804
Name:DODDS, NANCY (LMFT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DODDS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8296 OLD COURTHOUSE RD STE C
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3852
Mailing Address - Country:US
Mailing Address - Phone:703-688-2198
Mailing Address - Fax:
Practice Address - Street 1:8296 OLD COURTHOUSE RD STE 600
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3852
Practice Address - Country:US
Practice Address - Phone:703-688-2198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7094A106H00000X
NC1526106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist