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Contact Information

108 COUNSELING, LLC
8710 CHOCTAW RD STE 6A
NORTH CHESTERFIELD, VA23235-3472
 Phone: 646-256-5103
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for 108 COUNSELING LLC · (Female)

NPI Number 1053874370
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2019
Last updated 04/12/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA Medicaid 1366985228
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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