MRS. Kathleen Waggoner Petty, LCSW, CSAC is a mental health counselor in Lansdowne, VA. MRS. Kathleen Waggoner Petty, LCSW, CSAC NPI is 1811206204. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
19441 GOLF VISTA PLZ
SUITE 110
LANSDOWNE, VA
ZIP 20176-269
Phone: (703) 402-3080
The enumeration date for this NPI number is 10/1/2010 and was last updated on 10/1/2010.