Ditter, Jaclyn J

Ditter, Jaclyn J is an individual health care provider with primary practice located at 130 Preston Executive Dr Ste 102 , Cary NC 27513-8433. 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ditter, Jaclyn J can be contacted via phone (608) 558-1907.

Contact Information

Primary practice address
130 Preston Executive Dr Ste 102 Cary NC 27513-8433
Phone: (608) 558-1907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-24369 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X A14059 North Carolina

Profile Details

NPI number 1801382668
LBN Legal business name Ditter, Jaclyn J
Credentials M.S,LPC-A, LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2018
Last updated Jul 5th, 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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