Drake, Rebecca Ann

Drake, Rebecca Ann is an sole proprietor health care provider with primary practice located at 200 Tarpon Trail , Jacksonville NC 28546-5226. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Drake, Rebecca Ann can be contacted via phone (910) 328-4872.

Contact Information

Primary practice address
200 Tarpon Trail Jacksonville NC 28546-5226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C004558 North Carolina

Profile Details

NPI number 1003081431
LBN Legal business name Drake, Rebecca Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2008
Last updated Oct 3rd, 2008 - about 16 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 1003081431 NPPES
Maryland MEDICAID 206391300

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