Betts, Jacquelyn C

Betts, Jacquelyn C is an individual health care provider with primary practice located at 3724 National Dr Suite 101, Raleigh NC 27612-4070. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Betts, Jacquelyn C can be contacted via phone (919) 850-3410.

Contact Information

Primary practice address
3724 National Dr Suite 101 Raleigh NC 27612-4070
Phone: (919) 850-3410
Fax: (919) 850-9825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 173 North Carolina

Profile Details

NPI number 1205874823
LBN Legal business name Betts, Jacquelyn C
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1205874823 NPPES
North Carolina Other 131GG BCBS PROVIDER NUMBER

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