Shaw, Jacqueline

Shaw, Jacqueline is an sole proprietor health care provider with primary practice located at 633 Weathervane Way , Rocky Mount NC 27803-8736. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shaw, Jacqueline can be contacted via phone (252) 451-0148.

Contact Information

Primary practice address
633 Weathervane Way Rocky Mount NC 27803-8736
Phone: (252) 451-0148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 8086 North Carolina

Profile Details

NPI number 1689959694
LBN Legal business name Shaw, Jacqueline
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2011
Last updated Oct 21st, 2011 - about 15 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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