Vincent, Eleanor

Vincent, Eleanor is an sole proprietor health care provider with primary practice located at 10560 Main St Suite 405, Fairfax VA 22030-7182. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Vincent, Eleanor can be contacted via phone (703) 474-6427.

Contact Information

Primary practice address
10560 Main St Suite 405 Fairfax VA 22030-7182
Phone: (703) 474-6427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102639 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006683 Virginia

Profile Details

NPI number 1568904373
LBN Legal business name Vincent, Eleanor
Credentials EDD, LPC, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2016
Last updated Jan 22nd, 2017 - about 9 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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