Mrs. Kathleen Waggoner Petty, LCSW, CSAC
Mrs. Kathleen Waggoner Petty, LCSW, CSAC is an Addiction (Substance Use Disorder) Counselor in Lansdowne, Virginia. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
19441 Golf Vista Plz Ste 110Lansdowne, VA 20176-8269
Phone: (703) 402-3080
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1811206204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW , CSAC |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2010 |
| Last updated in NPPES | October 1, 2010 |