Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0701011016 | VA |
NPI | 1003575812 |
---|---|
Provider Name | Morgan Claire Bywaters |
First Address | Culpeper, VA 22701-2609 |
Second Address | Culpeper, VA 22701-2609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2021 |
Last Update Date | 09/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101YP2500X | (05) | VA |