Hagen, Jill Ann
Hagen, Jill Ann is an sole proprietor health care provider with primary practice located at 2 Pidgeon Hill Dr Ste 450 , Sterling VA 20165-6148. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hagen, Jill Ann can be contacted via phone (703) 433-1553.Contact Information
Primary practice address
2 Pidgeon Hill Dr Ste 450
Sterling VA 20165-6148
Phone: (703) 433-1553
Fax: (703) 480-9433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004125 | Virginia |
Profile Details
| NPI number | 1477617108 |
|---|---|
| LBN Legal business name | Hagen, Jill Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Oct 13th, 2022 - about 4 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 | 1477617108 | NPPES |
| Virginia | MEDICAID | 4945247 |
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