Charles, Jacqueline Elizabeth
Charles, Jacqueline Elizabeth is an sole proprietor health care provider with primary practice located at 215 N 2Nd St Ste 109 , River Falls WI 54022-3707. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Charles, Jacqueline Elizabeth can be contacted via phone (715) 629-7047.Contact Information
Primary practice address
215 N 2Nd St Ste 109
River Falls WI 54022-3707
Phone: (715) 629-7047
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7581-125 | Wisconsin |
Profile Details
| NPI number | 1013535236 |
|---|---|
| LBN Legal business name | Charles, Jacqueline Elizabeth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2020 |
| Last updated | Jul 14th, 2020 - about 5 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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