Addison, Virginia

Addison, Virginia is an individual health care provider with primary practice located at 1745 King College Rd , Bristol TN 37620-2736. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Addison, Virginia can be contacted via phone (423) 328-1289.

Contact Information

Primary practice address
1745 King College Rd Bristol TN 37620-2736
Phone: (423) 328-1289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6184 Tennessee

Profile Details

NPI number 1790493328
LBN Legal business name Addison, Virginia
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2022
Last updated Nov 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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