Petty, Jacquelyn
Petty, Jacquelyn is an individual health care provider with primary practice located at 130 Carbonton Rd , Sanford NC 27330-4009. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Petty, Jacquelyn can be contacted via phone (919) 774-6521.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4807 | North Carolina |
Profile Details
| NPI number | 1053466870 |
|---|---|
| LBN Legal business name | Petty, Jacquelyn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Aug 1st, 2013 - about 13 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 | 1053466870 | NPPES |
| North Carolina | MEDICAID | 6103319 |
Popular Providers
-
Martin, Ronnie Wayne
1709 Spring Ln , Sanford NC 27330-7224 -
Mcneill, Debbora Kay
1518 S Horner Blvd , Sanford NC 27330-5632 -
Crawford, Belinda Burch
154 Mciver St , Sanford NC 27330-4305 -
Duffy, Kenneth Frank
5800 Bluejay Dr , Sanford NC 27332-8874 -
Allen, Cecilia Smith
2515 Watson Ave Ste A , Sanford NC 27332-6174 -
Nelson, Valerie Luckey
617 Glenwood Dr , Sanford NC 27330-8648 -
Pryor, Senitra
811 North Horner Blvd , Sanford NC 27330 -
Muscat, Asher Melissa
900 S Vance St , Sanford NC 27330-4774