Desupinski, Joanna R

Desupinski, Joanna R is an individual health care provider with primary practice located at 10580 Ligon Mill Rd Ste 210 , Wake Forest NC 27587-6090. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Desupinski, Joanna R can be contacted via phone (919) 263-9592.

Contact Information

Primary practice address
10580 Ligon Mill Rd Ste 210 Wake Forest NC 27587-6090
Phone: (919) 263-9592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4832 North Carolina

Profile Details

NPI number 1598013591
LBN Legal business name Desupinski, Joanna R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2012
Last updated Oct 23rd, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598013591 NPPES
North Carolina MEDICAID 1598013591

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