Broadnax, Chrisonia Reneice
Broadnax, Chrisonia Reneice is an sole proprietor health care provider with primary practice located at 205 Lookout Way , Fredericksburg VA 22405-1244. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Broadnax, Chrisonia Reneice can be contacted via phone (270) 303-9247.Contact Information
Primary practice address
205 Lookout Way
Fredericksburg VA 22405-1244
Phone: (270) 303-9247
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34010681A | Indiana |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904015868 | Virginia |
Profile Details
NPI number | 1770863979 |
---|---|
LBN Legal business name | Broadnax, Chrisonia Reneice |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2011 |
Last updated | Oct 3rd, 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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