Keith, Michael Glen

Keith, Michael Glen is an sole proprietor health care provider with primary practice located at 6062 Arlington Blvd , Falls Church VA 22044-2943. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Keith, Michael Glen can be contacted via phone (703) 536-1736.

Contact Information

Primary practice address
6062 Arlington Blvd Falls Church VA 22044-2943
Fax: (703) 536-7610
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904003732 Virginia

Profile Details

NPI number 1477536910
LBN Legal business name Keith, Michael Glen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Feb 4th, 2014 - about 10 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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