Eustice, Katie R.

Eustice, Katie R. is an individual health care provider with primary practice located at 10084 Daniels Run Way , Fairfax VA 22030-2448. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eustice, Katie R. can be contacted via phone (303) 902-0653.

Contact Information

Primary practice address
10084 Daniels Run Way Fairfax VA 22030-2448
Phone: (303) 902-0653
Fax: (719) 314-1719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 09924585 Colorado

Profile Details

NPI number 1093797060
LBN Legal business name Eustice, Katie R.
Credentials LMSW-CC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 1st, 2024 - about 7 months 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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