Petty, Janice

Petty, Janice is an individual health care provider with primary practice located at 4660 Kenmore Ave Ste 701 , Alexandria VA 22304-1306. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Petty, Janice can be contacted via phone (571) 354-0338.

Contact Information

Primary practice address
4660 Kenmore Ave Ste 701 Alexandria VA 22304-1306
Phone: (571) 354-0338
Fax: (571) 386-2663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000324 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006463 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 071010213 Virginia

Profile Details

NPI number 1477909455
LBN Legal business name Petty, Janice
Credentials LPC, LSATP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2016
Last updated Jan 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers