Barrymore, Jan L
Barrymore, Jan L is an individual health care provider with primary practice located at 9228 George Washington Memorial Hwy , Gloucester VA 23061-4162. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Barrymore, Jan L can be contacted via phone (804) 693-5068.Contact Information
Primary practice address
9228 George Washington Memorial Hwy
Gloucester VA 23061-4162
Phone: (804) 693-5068
Fax: (804) 695-8122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004865 | Virginia |
Profile Details
| NPI number | 1679887418 |
|---|---|
| LBN Legal business name | Barrymore, Jan L |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2010 |
| Last updated | Aug 4th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679887418 | NPPES |
| Virginia | Other | 1497717615 | CARENET/ SOUTHERN HEALTH |
| Virginia | MEDICAID | 1497717615 | CARENET/ SOUTHERN HEALTH |
| Virginia | Other | 1497717615 | CARENET/ SOUTHERN HEALTH |
| Virginia | Other | 294721 | CARENET/ SOUTHERN HEALTH |
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