WADSWORTH ANTOINETTE - NPI: 1225670029


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1225670029
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: ANTOINETTE
Provider Last Name: WADSWORTH
Provider Gender Code: F
Provider Credential Text: LPC
Provider Enumeration Date: 10/13/2019
Last Update Date: 10/13/2019

Business Address:

Provider First Line Business Mailing Address: 42009 VICTORY LN
Provider Business Mailing Address City Name: LEESBURG
Provider Business Mailing Address State Name: VA
Provider Business Mailing Address Postal Code: 20176
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 7037770800

Mailing Address:

Provider First Line Business Practice Location Address: 42009 VICTORY LN
Provider Business Practice Location Address City Name: LEESBURG
Provider Business Practice Location Address State Name: VA
Provider Business Practice Location Address Postal Code: 20176
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 7037770800

Primary Taxonomy:

Taxonomy Code: 101YP2500X
License Number: 0701008632
License State: VA
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Behavioral Health & Social Service Providers
Classification: Counselor
Specialization: Professional
Definition: Definition to come...
Source: The National Provider Identifier

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