Locklear, Jennifer B

Locklear, Jennifer B is an individual health care provider with primary practice located at 6620 Shallowford Rd Suite 200, Lewisville NC 27023-9504. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Locklear, Jennifer B can be contacted via phone (336) 757-0258.

Contact Information

Primary practice address
6620 Shallowford Rd Suite 200 Lewisville NC 27023-9504
Phone: (336) 757-0258
Fax: (336) 945-0342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5123 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5123 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5123 North Carolina

Profile Details

NPI number 1679665590
LBN Legal business name Locklear, Jennifer B
Credentials NCC, LPCS, LCAS, CSI
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 18th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679665590 NPPES
North Carolina MEDICAID 6103500
North Carolina Other 1780013037

Popular Providers