Bacchus, Raenelle

Bacchus, Raenelle is an sole proprietor health care provider with primary practice located at 185 Claremont Ave , Jersey City NJ 07305-3623. She 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bacchus, Raenelle can be contacted via phone (201) 903-5482.

Contact Information

Primary practice address
185 Claremont Ave Jersey City NJ 07305-3623
Phone: (201) 903-5482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00254800 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05688600 New Jersey

Profile Details

NPI number 1134615933
LBN Legal business name Bacchus, Raenelle
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2018
Last updated Jul 3rd, 2018 - about 8 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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