Willard, Hugh Jerome

Willard, Hugh Jerome is an individual health care provider with primary practice located at 4611 Western Blvd , Raleigh NC 27606-1815. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Willard, Hugh Jerome can be contacted via phone (919) 601-0540.

Contact Information

Primary practice address
4611 Western Blvd Raleigh NC 27606-1815
Phone: (919) 601-0540
Fax: (919) 557-9661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2458 North Carolina

Profile Details

NPI number 1164470456
LBN Legal business name Willard, Hugh Jerome
Credentials M.ED., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - 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 1164470456 NPPES
North Carolina Other 128C1 BCBS PROVIDER #

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