Grossnickle, Benjamin Jared

Grossnickle, Benjamin Jared is an individual health care provider with primary practice located at 2602 Courtier Dr , Greenville NC 27834-7818. He 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 his primary health care specialty. Grossnickle, Benjamin Jared can be contacted via phone (252) 752-0483.

Contact Information

Primary practice address
2602 Courtier Dr Greenville NC 27834-7818
Phone: (252) 752-0483
Fax: (252) 757-3172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-29816 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X P017779 North Carolina

Profile Details

NPI number 1124860705
LBN Legal business name Grossnickle, Benjamin Jared
Credentials LCSW-A, LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2024
Last updated Jun 12th, 2024 - about last year

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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