Phillips, Jacquelline

Phillips, Jacquelline is an individual health care provider with primary practice located at 725 Highland Ave , Winston Salem NC 27101-4206. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Phillips, Jacquelline can be contacted via phone (336) 607-8523.

Contact Information

Primary practice address

725 Highland Ave Winston Salem NC 27101-4206

Phone: (336) 607-8523

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Counselor	101Y00000X

Profile Details

NPI number	1033541859
LBN Legal business name	Phillips, Jacquelline
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 2nd, 2013
Last updated	Aug 2nd, 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.

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