Jordan, Mitzi Bunch

Jordan, Mitzi Bunch is an individual health care provider with primary practice located at 1141 N Road St Ste L , Elizabeth City NC 27909-3354. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordan, Mitzi Bunch can be contacted via phone (252) 335-0803.

Contact Information

Primary practice address
1141 N Road St Ste L Elizabeth City NC 27909-3354
Phone: (252) 335-0803
Fax: (252) 413-0932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P011385 North Carolina

Profile Details

NPI number 1043740806
LBN Legal business name Jordan, Mitzi Bunch
Credentials LCSWA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jun 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043740806 NPPES
North Carolina Other P011385 LCSWA LICENSURE

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