Spann, J'Wanna Danielle

Spann, J'Wanna Danielle is an individual health care provider with primary practice located at 1337 E Garrison Blvd , Gastonia NC 28054-5127. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Spann, J'Wanna Danielle can be contacted via phone (704) 865-3848.

Contact Information

Primary practice address
1337 E Garrison Blvd Gastonia NC 28054-5127
Phone: (704) 865-3848
Fax: (704) 854-3086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 20841 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1150356 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 1150356 South Carolina

Profile Details

NPI number 1457619959
LBN Legal business name Spann, J'Wanna Danielle
Credentials LPC, LPCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2012
Last updated Dec 18th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457619959 NPPES
South Carolina MEDICAID 435201

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