Individual
MR. JAMES PETER DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10106 KRAUSE RD, SUITE 100C, CHESTERFIELD, VA 23832-6572
(804) 751-0277
(804) 751-9086
Mailing address
10106 KRAUSE RD, SUITE 100C, CHESTERFIELD, VA 23832-6572
(804) 751-0277
(804) 751-9086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000288
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094949
ANTHEM BLUE CROSS/ BLUE S
VA
01
—
10607
CIGNA BEHAVIORAL HEALTH
VA
Enumeration date
07/26/2006
Last updated
07/08/2007
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