Blandon, Diana D

Blandon, Diana D is an sole proprietor health care provider with primary practice located at 4000 Genesee Pl Ste 101 , Woodbridge VA 22192-8302. She recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Blandon, Diana D can be contacted via phone (571) 659-0056.

Contact Information

Primary practice address
4000 Genesee Pl Ste 101 Woodbridge VA 22192-8302
Phone: (571) 659-0056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 0733003450 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0906011240 Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X 0906011240 Virginia

Profile Details

NPI number 1659941755
LBN Legal business name Blandon, Diana D
Credentials MSW,QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2021
Last updated Jun 30th, 2021 - about 5 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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