Lile, Jesse Jacob
Lile, Jesse Jacob is an individual health care provider with primary practice located at 5000 Country Club Rd. , Winston Salem NC 27104. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Lile, Jesse Jacob can be contacted via phone (336) 714-5478.Contact Information
Primary practice address
5000 Country Club Rd.
Winston Salem NC 27104
Phone: (336) 714-5478
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6731 | North Carolina |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1801068440 |
|---|---|
| LBN Legal business name | Lile, Jesse Jacob |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Mar 24th, 2008 - about 18 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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