Burgess, Justin

Burgess, Justin is an individual health care provider with primary practice located at 228 S Washington St , Alexandria VA 22314-5408. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Military Health Care Provider. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Burgess, Justin can be contacted via phone (703) 935-0058.

Contact Information

Primary practice address
228 S Washington St Alexandria VA 22314-5408
Phone: (703) 935-0058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810008092 Virginia
Other Service Providers / Military Health Care Provider 171000000X 0810008092 Virginia

Profile Details

NPI number 1396419891
LBN Legal business name Burgess, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2021
Last updated Jun 4th, 2024 - 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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