Fadeyi-Bryant, Jacqueline
Fadeyi-Bryant, Jacqueline is an sole proprietor health care provider with primary practice located at 200 Valencia Dr , Jacksonville NC 28546-6311. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fadeyi-Bryant, Jacqueline can be contacted via phone (910) 353-3060.Contact Information
Primary practice address
200 Valencia Dr
Jacksonville NC 28546-6311
Phone: (910) 353-3060
Fax: (910) 353-3080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C002905 | North Carolina |
Profile Details
| NPI number | 1558426213 |
|---|---|
| LBN Legal business name | Fadeyi-Bryant, Jacqueline |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2006 |
| Last updated | Feb 17th, 2017 - about 9 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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