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
Phone: (919) 530-9446
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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