Wichlacz, Casimer Richard

Wichlacz, Casimer Richard is an sole proprietor health care provider with primary practice located at 9810 Brightlea Dr , Vienna VA 22181-6003. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wichlacz, Casimer Richard can be contacted via phone (703) 281-5337.

Contact Information

Primary practice address
9810 Brightlea Dr Vienna VA 22181-6003
Phone: (703) 281-5337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904005923 Virginia

Profile Details

NPI number 1487646204
LBN Legal business name Wichlacz, Casimer Richard
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Dec 1st, 2011 - about 15 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.

Request for update

Popular Providers