Fallon, Stacey Serrell
Fallon, Stacey Serrell is an sole proprietor health care provider with primary practice located at 6688 Stonebrook Dr , Clifton VA 20124-2538. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fallon, Stacey Serrell can be contacted via phone (703) 220-2489.Contact Information
Primary practice address
6688 Stonebrook Dr
Clifton VA 20124-2538
Phone: (703) 220-2489
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0904013359 | Virginia |
Profile Details
| NPI number | 1659120913 |
|---|---|
| LBN Legal business name | Fallon, Stacey Serrell |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2024 |
| Last updated | May 17th, 2024 - 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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