Clemmons, Elizabeth A.

Clemmons, Elizabeth A. is an individual health care provider with primary practice located at 9228 George Washington Memorial Hwy , Gloucester VA 23061-4162. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clemmons, Elizabeth A. can be contacted via phone (804) 693-5057.

Contact Information

Primary practice address
9228 George Washington Memorial Hwy Gloucester VA 23061-4162
Phone: (804) 693-5057
Fax: (804) 693-7407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002912 Virginia

Profile Details

NPI number 1184686750
LBN Legal business name Clemmons, Elizabeth A.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184686750 NPPES
Virginia Other 7162588 AETNA
Virginia MEDICAID O87894M AETNA
Virginia Other 122559 AETNA
Virginia MEDICAID 137455 AETNA
Virginia Other O87894M AETNA
Virginia Other 137455 AETNA
Virginia Other 137455 AETNA

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