Provider Demographics
NPI:1376360123
Name:DABNEY, ANNE LEE (LCP, CRC, CSAC)
Entity type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:LEE
Last Name:DABNEY
Suffix:
Gender:F
Credentials:LCP, CRC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 N ARTHUR ASHE BLVD APT 9
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3336
Mailing Address - Country:US
Mailing Address - Phone:804-347-6702
Mailing Address - Fax:
Practice Address - Street 1:5700 W GRACE ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1832
Practice Address - Country:US
Practice Address - Phone:804-347-6702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional