Dolan, Carolyn G.

Dolan, Carolyn G. is an individual health care provider with primary practice located at 9228 George Washington Memorial Hwy , Gloucester VA 23061-4162. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dolan, Carolyn G. can be contacted via phone (804) 693-5057.

Contact Information

Primary practice address
9228 George Washington Memorial Hwy Gloucester VA 23061-4162
Phone: (804) 693-5057
Fax: (804) 693-7407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001479 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000483 Virginia

Profile Details

NPI number 1144282245
LBN Legal business name Dolan, Carolyn G.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 9th, 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 1144282245 NPPES
Virginia Other 061740 VALUE OPTIONS
Virginia MEDICAID 250220 VALUE OPTIONS
Virginia Other 5979283 VALUE OPTIONS
Virginia MEDICAID O86401 VALUE OPTIONS
Virginia Other 1290-2737 VALUE OPTIONS
Virginia Other 331726 VALUE OPTIONS
Virginia Other 250220 VALUE OPTIONS
Virginia Other 250220 VALUE OPTIONS
Virginia Other 2049251 VALUE OPTIONS
Virginia Other O86401 VALUE OPTIONS

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