Puchon, Mikami
Puchon, Mikami is an sole proprietor health care provider with primary practice located at 8221 Willow Oaks Corporate Dr Ste 4-420 , Fairfax VA 22031-4512. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Puchon, Mikami can be contacted via phone (703) 289-7560.Contact Information
Primary practice address
8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax VA 22031-4512
Phone: (703) 289-7560
Fax: (703) 204-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904010098 | Virginia |
Profile Details
| NPI number | 1154799054 |
|---|---|
| LBN Legal business name | Puchon, Mikami |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2015 |
| Last updated | Dec 30th, 2024 - about 2 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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