Comstock, Ellen Warren

Comstock, Ellen Warren is an individual health care provider with primary practice located at 3312 Cedar Ln , Portsmouth VA 23703-4104. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Comstock, Ellen Warren can be contacted via phone (757) 623-2700.

Contact Information

Primary practice address
3312 Cedar Ln Portsmouth VA 23703-4104
Phone: (757) 623-2700
Fax: (757) 623-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003059 Virginia

Profile Details

NPI number 1619046398
LBN Legal business name Comstock, Ellen Warren
Credentials M.DIV, M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619046398 NPPES
Virginia Other 0701003059 LICENSED PROF COUNSELOR

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