Childress, John Frederick

Childress, John Frederick is an sole proprietor health care provider with primary practice located at 810 Westwood Office Park , Fredericksburg VA 22401-5121. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Childress, John Frederick can be contacted via phone (540) 899-4025.

Contact Information

Primary practice address
810 Westwood Office Park Fredericksburg VA 22401-5121
Phone: (540) 899-4025
Fax: (540) 374-3313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002716 Virginia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0810002716 Virginia
Behavioral Health & Social Service Providers / Health Service 103TH0100X 0810002716 Virginia

Profile Details

NPI number 1275551673
LBN Legal business name Childress, John Frederick
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 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.

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