Long, Amanda Bales
Long, Amanda Bales is an sole proprietor health care provider with primary practice located at 1800 Michael Faraday Dr Ste 206 , Reston VA 20190-5312. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Long, Amanda Bales can be contacted via phone (703) 935-0058.Contact Information
Primary practice address
1800 Michael Faraday Dr Ste 206
Reston VA 20190-5312
Phone: (703) 935-0058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904010519 | Virginia |
Profile Details
| NPI number | 1760976633 |
|---|---|
| LBN Legal business name | Long, Amanda Bales |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2018 |
| Last updated | Jun 14th, 2018 - about 8 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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