Healthcare Provider Details

I. General information

NPI: 1740913433
Provider Name (Legal Business Name): ZIEGFRED DANDAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9221 FOREST HILL AVE
RICHMOND VA
23235-6876
US

IV. Provider business mailing address

9221 FOREST HILL AVE
RICHMOND VA
23235-6876
US

V. Phone/Fax

Practice location:
  • Phone: 804-326-5539
  • Fax: 804-535-4974
Mailing address:
  • Phone: 804-326-5539
  • Fax: 804-535-4974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701011624
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: