Pesa, Virginia

Pesa, Virginia is an sole proprietor health care provider with primary practice located at 967 Walnut Ridge Ct , Frankfort IL 60423-2103. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pesa, Virginia can be contacted via phone (815) 469-0123.

Contact Information

Primary practice address
967 Walnut Ridge Ct Frankfort IL 60423-2103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.007019 Illinois

Profile Details

NPI number 1801212907
LBN Legal business name Pesa, Virginia
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2014
Last updated Mar 13th, 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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