Letourneau, Gregory

Letourneau, Gregory is an individual health care provider with primary practice located at 915 W 4Th St , Winston-Salem NC 27101-2517. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Letourneau, Gregory can be contacted via phone (336) 750-0130.

Contact Information

Primary practice address
915 W 4Th St Winston-Salem NC 27101-2517
Phone: (336) 750-0130
Fax: (336) 750-0073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003633 North Carolina

Profile Details

NPI number 1063487973
LBN Legal business name Letourneau, Gregory
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1063487973 NPPES
North Carolina Other 13809 BLUECROSSBLUESHEILD
North Carolina MEDICAID 6003585 BLUECROSSBLUESHEILD

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