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NPI Code Detail

MEDICARE: MRS. MARGARET J ST.CLAIR MS, LPC

MEDICARE: MRS. MARGARET J ST.CLAIR MS, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor0701003201VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15633924OTHERVAFIRSTHEALTH MH PROVIDER I
29392627OTHERVAPHCS MH PROVIDER ID#
3O85581MOTHERVASENTARA MH PROVIDER #
411485890OTHERVACAQH CREDENTIALING ID MH
5252928OTHERVACOMPSYCH MH PROVIDER #
6178619OTHERVAANTHEM BC/BS OFFCE#2 MH
7178620OTHERVAANTHEM BC/BS MH PROVIDER

General Provider Information

NPI Number : 1720054158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET J ST.CLAIR MS, LPC
Provider Business Mailing Address
First Line : 3536 HORSESHOE DR
Second Line :
City : QUINTON
State : VA
Zip : 23141-1553
Country : US
Telephone Number : 804-475-1276
Fax Number :
Provider Business Practice Location Address
First Line : 6851 COURTHOUSE RD
Second Line : SUITE 300
City : CHESTERFIELD
State : VA
Zip : 23832-5308
Country : US
Telephone Number : 804-715-3215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2006
Last Update Date : 07/09/2007

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