Keith, Michael Glen
Keith, Michael Glen is an sole proprietor health care provider with primary practice located at 6062 Arlington Blvd , Falls Church VA 22044-2943. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Keith, Michael Glen can be contacted via phone (703) 536-1736.Contact Information
Primary practice address
6062 Arlington Blvd
Falls Church VA 22044-2943
Phone: (703) 536-1736
Fax: (703) 536-7610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904003732 | Virginia |
Profile Details
| NPI number | 1477536910 |
|---|---|
| LBN Legal business name | Keith, Michael Glen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Feb 4th, 2014 - about 12 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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