Jackson, Bethena M
Jackson, Bethena M is an sole proprietor health care provider with primary practice located at 2604 Carver St Suite C, Durham NC 27705-2796. 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. Jackson, Bethena M can be contacted via phone (919) 682-4771.Contact Information
Primary practice address
2604 Carver St Suite C
Durham NC 27705-2796
Phone: (919) 682-4771
Fax: (919) 683-2641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2421 | North Carolina |
Profile Details
| NPI number | 1881930006 |
|---|---|
| LBN Legal business name | Jackson, Bethena M |
| Credentials | CSAC, LCAS-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2012 |
| Last updated | Dec 15th, 2012 - about 14 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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