Charles, Virgina

Charles, Virgina is an sole proprietor health care provider with primary practice located at 2700 Ne Loop 410 Ste 101 , San Antonio TX 78217-4841. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Charles, Virgina can be contacted via phone (210) 832-5021.

Contact Information

Primary practice address
2700 Ne Loop 410 Ste 101 San Antonio TX 78217-4841
Phone: (210) 832-5021
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 18073 Texas

Profile Details

NPI number 1235177627
LBN Legal business name Charles, Virgina
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Jan 2nd, 2024 - about 10 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235177627 NPPES
Texas MEDICAID 171471901

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