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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285862458 | NPPES |
| North Carolina | MEDICAID | 6104243 |
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