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
Fax: (336) 659-8206
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851535678 NPPES
North Carolina Other 6969 STATE LICENSE

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