Keller, Rebecca Wolfe

Keller, Rebecca Wolfe is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1373. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keller, Rebecca Wolfe can be contacted via phone (757) 314-7500.

Contact Information

Primary practice address
576 Jefferson Ave Fort Eustis VA 23604-1373
Phone: (757) 314-7500
Fax: (757) 314-7854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904003037 Virginia

Profile Details

NPI number 1437174067
LBN Legal business name Keller, Rebecca Wolfe
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 27th, 2013 - about 11 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 1437174067 NPPES
Virginia Other 192000 BC
Virginia MEDICAID 010259282 BC

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