Lawrence, Jacob Douglas

Lawrence, Jacob Douglas is an sole proprietor health care provider with primary practice located at 19 Eplee Ln , Candler NC 28715-6403. 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. Lawrence, Jacob Douglas can be contacted via phone (828) 458-9445.

Contact Information

Primary practice address
19 Eplee Ln Candler NC 28715-6403
Phone: (828) 458-9445
Fax: (828) 544-1201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22857 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1104370048
LBN Legal business name Lawrence, Jacob Douglas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2016
Last updated Jun 10th, 2019 - about 6 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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