Jaudon, Stacey L

Jaudon, Stacey L is an sole proprietor health care provider with primary practice located at 1 Zillicoa St , Asheville NC 28801-1038. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jaudon, Stacey L can be contacted via phone (828) 230-2507.

Contact Information

Primary practice address
1 Zillicoa St Asheville NC 28801-1038
Phone: (828) 230-2507
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004396 North Carolina

Profile Details

NPI number 1154381564
LBN Legal business name Jaudon, Stacey L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Sep 7th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154381564 NPPES
North Carolina MEDICAID 6003210
North Carolina Other 480689
North Carolina Other C4776
North Carolina Other 133WN

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