Drake, Rebecca Ann
Drake, Rebecca Ann is an sole proprietor health care provider with primary practice located at 200 Tarpon Trail , Jacksonville NC 28546-5226. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Drake, Rebecca Ann can be contacted via phone (910) 328-4872.Contact Information
Primary practice address
200 Tarpon Trail
Jacksonville NC 28546-5226
Phone: (910) 328-4872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C004558 | North Carolina |
Profile Details
| NPI number | 1003081431 |
|---|---|
| LBN Legal business name | Drake, Rebecca Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2008 |
| Last updated | Oct 3rd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003081431 | NPPES |
| Maryland | MEDICAID | 206391300 |
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