Wallace, Meg

Wallace, Meg is an sole proprietor health care provider with primary practice located at 297 Herndon Pkwy Suite 201, Herndon VA 20170-4474. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wallace, Meg can be contacted via phone (703) 435-4325.

Contact Information

Primary practice address
297 Herndon Pkwy Suite 201 Herndon VA 20170-4474
Phone: (703) 435-4325
Fax: (703) 435-4325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1808 Virginia

Profile Details

NPI number 1245345750
LBN Legal business name Wallace, Meg
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1245345750 NPPES
Virginia Other 0600001 CARE 1ST ID
Virginia Other 200642 CARE 1ST ID

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