Childers, Jack C

Childers, Jack C is an sole proprietor health care provider with primary practice located at 7 Loudoun St Sw , Leesburg VA 20175-2933. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Childers, Jack C can be contacted via phone (703) 771-4041.

Contact Information

Primary practice address
7 Loudoun St Sw Leesburg VA 20175-2933
Phone: (703) 771-4041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003420 Virginia

Profile Details

NPI number 1750467395
LBN Legal business name Childers, Jack C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Feb 19th, 2010 - about 14 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.

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