Dutrow, M.Claire H
Dutrow, M.Claire H is an sole proprietor health care provider with primary practice located at 7969 Ashton Ave , Manassas VA 20109-2885. 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 / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dutrow, M.Claire H can be contacted via phone (703) 792-7800.Contact Information
Primary practice address
7969 Ashton Ave
Manassas VA 20109-2885
Phone: (703) 792-7800
Fax: (703) 792-5699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710001126 | Virginia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701002668 | Virginia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717000694 | Virginia |
Profile Details
| NPI number | 1265516595 |
|---|---|
| LBN Legal business name | Dutrow, M.Claire H |
| Credentials | LPC,LMFT,CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | May 19th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265516595 | NPPES |
| Virginia | MEDICAID | 004978277 | |
| Virginia | Other | 210245 | |
| Virginia | MEDICAID | 004945247 |
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