Prior, Randall Leavitt

Prior, Randall Leavitt is an individual health care provider with primary practice located at 10723 Main St Fairfax Presbyterian Church, Fairfax VA 22030-6905. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Prior, Randall Leavitt can be contacted via phone (703) 270-5300.

Contact Information

Primary practice address
10723 Main St Fairfax Presbyterian Church Fairfax VA 22030-6905
Phone: (703) 270-5300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1205109055
LBN Legal business name Prior, Randall Leavitt
Credentials D.MIN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 14 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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