Aldridge, Jacqueline A
Aldridge, Jacqueline A is an individual health care provider with primary practice located at 1311 Westbrook Plaza Dr Suite 100, Winston Salem NC 27103-1327. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Aldridge, Jacqueline A can be contacted via phone (336) 659-8202.Contact Information
Primary practice address
1311 Westbrook Plaza Dr Suite 100
Winston Salem NC 27103-1327
Phone: (336) 659-8202
Fax: (336) 659-8206
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6969 | North Carolina |
Profile Details
NPI number | 1851535678 |
---|---|
LBN Legal business name | Aldridge, Jacqueline A |
Credentials | MA, LPC, RPT, NCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2009 |
Last updated | Aug 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851535678 | NPPES |
North Carolina | Other | 6969 | STATE LICENSE |
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