Wade, Wesley Jackson

Wade, Wesley Jackson is an sole proprietor health care provider with primary practice located at 227 Mainline Station Dr , Morrisville NC 27560-6112. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wade, Wesley Jackson can be contacted via phone (919) 530-9446.

Contact Information

Primary practice address
227 Mainline Station Dr Morrisville NC 27560-6112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-23410 North Carolina

Profile Details

NPI number 1457891236
LBN Legal business name Wade, Wesley Jackson
Credentials NCC, CCMHC, LCAS-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2017
Last updated Feb 27th, 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.

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