Acebo, Justin Paul

Acebo, Justin Paul is an sole proprietor health care provider with primary practice located at 5554 Nur Lane , Raleigh NC 27606-4060. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Acebo, Justin Paul can be contacted via phone (919) 902-9600.

Contact Information

Primary practice address
5554 Nur Lane Raleigh NC 27606-4060
Phone: (919) 902-9600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6992 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 6992 North Carolina

Profile Details

NPI number 1992951545
LBN Legal business name Acebo, Justin Paul
Credentials LPC, NCC, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2008
Last updated Sep 7th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992951545 NPPES
North Carolina Other 6992 NCBLPC LICENSE NUMBER
North Carolina MEDICAID 6104000 NCBLPC LICENSE NUMBER

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