Davis, Andrea J.

Davis, Andrea J. is an individual health care provider with primary practice located at 2025 E Main St Suite 205, Richmond VA 23223-7069. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Andrea J. can be contacted via phone (804) 225-1331.

Contact Information

Primary practice address
2025 E Main St Suite 205 Richmond VA 23223-7069
Phone: (804) 225-1331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003518 Virginia

Profile Details

NPI number 1336199306
LBN Legal business name Davis, Andrea J.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336199306 NPPES
Virginia MEDICAID 010001315

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