Provider Demographics
NPI:1306122718
Name:DRANEY, LISELOTTE CAROLINE (NCC)
Entity type:Individual
Prefix:MRS
First Name:LISELOTTE
Middle Name:CAROLINE
Last Name:DRANEY
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 N EDGEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1932
Mailing Address - Country:US
Mailing Address - Phone:703-528-3948
Mailing Address - Fax:
Practice Address - Street 1:602 N EDGEWOOD ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-1932
Practice Address - Country:US
Practice Address - Phone:703-528-3948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-30
Last Update Date:2011-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)