Wallace, Meg
Wallace, Meg is an sole proprietor health care provider with primary practice located at 297 Herndon Pkwy Suite 201, Herndon VA 20170-4474. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wallace, Meg can be contacted via phone (703) 435-4325.Contact Information
Primary practice address
297 Herndon Pkwy Suite 201
Herndon VA 20170-4474
Phone: (703) 435-4325
Fax: (703) 435-4325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1808 | Virginia |
Profile Details
| NPI number | 1245345750 |
|---|---|
| LBN Legal business name | Wallace, Meg |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245345750 | NPPES |
| Virginia | Other | 0600001 | CARE 1ST ID |
| Virginia | Other | 200642 | CARE 1ST ID |
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