Beck, Jacqueline Fedash

Beck, Jacqueline Fedash is an sole proprietor health care provider with primary practice located at 154 Beacon Dr Suite I, Winterville NC 28590-7860. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Beck, Jacqueline Fedash can be contacted via phone (252) 353-1114.

Contact Information

Primary practice address
154 Beacon Dr Suite I Winterville NC 28590-7860
Phone: (252) 353-1114
Fax: (252) 353-1119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7076 North Carolina

Profile Details

NPI number 1285862458
LBN Legal business name Beck, Jacqueline Fedash
Credentials MS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2009
Last updated Nov 3rd, 2009 - about 15 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 1285862458 NPPES
North Carolina MEDICAID 6104243

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