Dungee, Staci N

Dungee, Staci N is an individual health care provider with primary practice located at 1360 Beverly Rd Ste 200 , Mc Lean VA 22101-3647. She recently has 3 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dungee, Staci N can be contacted via phone (804) 207-6737.

Contact Information

Primary practice address
1360 Beverly Rd Ste 200 Mc Lean VA 22101-3647
Phone: (804) 207-6737
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710103796 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701010467 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701010467 Virginia

Profile Details

NPI number 1841867488
LBN Legal business name Dungee, Staci N
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2021
Last updated Dec 29th, 2023 - about 2 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 1841867488 NPPES
Virginia MEDICAID 30016099110003

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