Brown, Jaquetta
Brown, Jaquetta is an sole proprietor health care provider with primary practice located at 1045 Lynnhaven Pkwy , Virginia Beach VA 23452-6346. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Brown, Jaquetta can be contacted via phone (757) 385-4105.Contact Information
Primary practice address
1045 Lynnhaven Pkwy
Virginia Beach VA 23452-6346
Phone: (757) 385-4105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701006632 | Virginia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710102889 | Virginia |
Profile Details
| NPI number | 1356562441 |
|---|---|
| LBN Legal business name | Brown, Jaquetta |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jan 5th, 2017 - about 7 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 | 1356562441 | NPPES |
| Virginia | MEDICAID | 1861562472 |
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