Absalom, Terry

Absalom, Terry is an sole proprietor health care provider with primary practice located at 102 Heritage Way Ne Ste 102 , Leesburg VA 20176-4544. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Absalom, Terry can be contacted via phone (703) 777-0320.

Contact Information

Primary practice address
102 Heritage Way Ne Ste 102 Leesburg VA 20176-4544
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1720776388
LBN Legal business name Absalom, Terry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2023
Last updated May 1st, 2023 - about last year

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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