Carlson, Jeanine Ruth
Carlson, Jeanine Ruth is an sole proprietor health care provider with primary practice located at 1487 Chain Bridge Rd Suite 202, Mc Lean VA 22101-5723. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carlson, Jeanine Ruth can be contacted via phone (703) 919-0917.Contact Information
Primary practice address
1487 Chain Bridge Rd Suite 202
Mc Lean VA 22101-5723
Phone: (703) 919-0917
Fax: (703) 536-4693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2073 | Virginia |
Profile Details
| NPI number | 1972794642 |
|---|---|
| LBN Legal business name | Carlson, Jeanine Ruth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Sep 11th, 2012 - about 14 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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