Antonio O'neil Clinkscales
Pastoral Counselor
103 Surrey Dr
Ruther Glen
, Virginia 22546-1035
Antonio O'neil Clinkscales
Pastoral Counselor
103 Surrey Dr
Ruther Glen
, Virginia 22546-1035
(804) 994-7998
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Antonio O'neil Clinkscales
- 103 Surrey Dr
- Ruther Glen, VA
- Zip : 22546-1035
- Phone : (804) 994-7998
Second Address
- Antonio O'neil Clinkscales
- 103 Surrey Dr
- Ruther Glen, VA
- Zip : 22546-1035
- Phone : (804) 994-7998
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Is Antonio O'neil Clinkscales a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1184182719 |
|---|---|
| Provider Name | Antonio O'neil Clinkscales |
| First Address | Ruther Glen, VA 22546-1035 |
| Second Address | Ruther Glen, VA 22546-1035 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2019 |
| Last Update Date | 02/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 81-5150005 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.