Provider Demographics
NPI:1669584439
Name:TRONIS, GLENIS ANDREA (LPC NCC)
Entity type:Individual
Prefix:MS
First Name:GLENIS
Middle Name:ANDREA
Last Name:TRONIS
Suffix:
Gender:F
Credentials:LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3340 WOODBURN RD
Mailing Address - Street 2:WOODBURN CCMH
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-207-7717
Mailing Address - Fax:703-280-9518
Practice Address - Street 1:3340 WOODBURN RD
Practice Address - Street 2:WOODBURN CCMH
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-207-7717
Practice Address - Fax:703-280-9518
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002457101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor