Booker, Judith Ann

Booker, Judith Ann is an individual health care provider with primary practice located at 720 N Saint Asaph St , Alexandria VA 22314-1912. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Booker, Judith Ann can be contacted via phone (703) 838-4455.

Contact Information

Primary practice address
720 N Saint Asaph St Alexandria VA 22314-1912
Phone: (703) 838-4455
Fax: (703) 838-5070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710000789 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001826 Virginia

Profile Details

NPI number 1457412421
LBN Legal business name Booker, Judith Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457412421 NPPES
Virginia Other 0102 CAREFIRST BCBS
Virginia Other 299099 CAREFIRST BCBS
Virginia Other 188520 CAREFIRST BCBS
Virginia Other 546001103002 CAREFIRST BCBS

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