Mcqueen-Smith, Jamera
Mcqueen-Smith, Jamera is an individual health care provider with primary practice located at 8003 N Point Blvd , Winston Salem NC 27106-3203. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mcqueen-Smith, Jamera can be contacted via phone (336) 602-5519.Contact Information
Primary practice address
8003 N Point Blvd
Winston Salem NC 27106-3203
Phone: (336) 602-5519
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | North Carolina | |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | North Carolina | |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | North Carolina | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | North Carolina |
Profile Details
| NPI number | 1487227435 |
|---|---|
| LBN Legal business name | Mcqueen-Smith, Jamera |
| Credentials | MHA,QP, LMHC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2021 |
| Last updated | Aug 22nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487227435 | NPPES |
| North Carolina | MEDICAID | 1382 |
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