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1144282245

NPI Code Detail

MEDICARE: CAROLYN G. DOLAN L.P.C.

MEDICARE: CAROLYN G. DOLAN L.P.C.

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
1	101YP2500X	Professional Counselor	0701001479	VA
2	106H00000X	Marriage & Family Therapist	0717000483	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	061740	OTHER	VA	VALUE OPTIONS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5979283	OTHER	VA	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1290-2737	OTHER	VA	UNITED BEHAVIORAL HEALTH
6	331726	OTHER	VA	TRICARE
7	250220	OTHER	VA	HEALTHKEEPERS
8	250220	OTHER	VA	ANTHEM
9	2049251	OTHER	VA	CIGNA
10	O86401	OTHER	VA	SOUTHERN HEALTH

General Provider Information

NPI Number	:	1144282245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN G. DOLAN L.P.C.

Provider Business Mailing Address
First Line	:	9228 GEORGE WASHINGTON MEMORIAL HWY
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-4162
Country	:	US
Telephone Number	:	804-693-5057
Fax Number	:	804-693-7407

Provider Business Practice Location Address
First Line	:	9228 GEORGE WASHINGTON MEMORIAL HWY
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-4162
Country	:	US
Telephone Number	:	804-693-5057
Fax Number	:	804-693-7407

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	09/11/2025

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Directions to “ CAROLYN G. DOLAN L.P.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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