Booker, Judith Ann
Booker, Judith Ann is an individual health care provider with primary practice located at 720 N Saint Asaph St , Alexandria VA 22314-1912. 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Booker, Judith Ann can be contacted via phone (703) 838-4455.Contact Information
Primary practice address
720 N Saint Asaph St
Alexandria VA 22314-1912
Phone: (703) 838-4455
Fax: (703) 838-5070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710000789 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701001826 | Virginia |
Profile Details
| NPI number | 1457412421 |
|---|---|
| LBN Legal business name | Booker, Judith Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1457412421 | NPPES |
| Virginia | Other | 0102 | CAREFIRST BCBS |
| Virginia | Other | 299099 | CAREFIRST BCBS |
| Virginia | Other | 188520 | CAREFIRST BCBS |
| Virginia | Other | 546001103002 | CAREFIRST BCBS |
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