Street, Carl

Street, Carl is an sole proprietor health care provider with primary practice located at 11835 Hazel Circle Dr , Bristow VA 20136-2180. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Street, Carl can be contacted via phone (703) 636-5100.

Contact Information

Primary practice address
11835 Hazel Circle Dr Bristow VA 20136-2180
Phone: (703) 636-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701005656 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000249 Virginia

Profile Details

NPI number 1720450943
LBN Legal business name Street, Carl
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2015
Last updated Oct 27th, 2015 - about 9 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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