Jaworski, Jeffrey Allen

Jaworski, Jeffrey Allen is an sole proprietor health care provider with primary practice located at 110 W Wood Hill Dr , Nags Head NC 27959-9394. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jaworski, Jeffrey Allen can be contacted via phone (252) 441-1802.

Contact Information

Primary practice address
110 W Wood Hill Dr Nags Head NC 27959-9394
Phone: (252) 441-1802
Fax: (252) 441-1802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1059 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5512 North Carolina

Profile Details

NPI number 1700934262
LBN Legal business name Jaworski, Jeffrey Allen
Credentials LCAS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Oct 16th, 2008 - about 17 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 1700934262 NPPES
North Carolina MEDICAID 6103427

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