Durant, Earl R

Durant, Earl R is an sole proprietor health care provider with primary practice located at 11250 Roger Bacon Dr Suite 12, Reston VA 20190-5219. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Durant, Earl R can be contacted via phone (703) 437-9993.

Contact Information

Primary practice address
11250 Roger Bacon Dr Suite 12 Reston VA 20190-5219
Phone: (703) 437-9993
Fax: (703) 437-9975
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001747 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000693 Virginia

Profile Details

NPI number 1619103140
LBN Legal business name Durant, Earl R
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Jun 10th, 2009 - about 15 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 1619103140 NPPES
Virginia Other 0701001747 LICENSED PROFESSIONAL COUNSELOR
Virginia Other 0717000693 LICENSED PROFESSIONAL COUNSELOR

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