Whitley, Ronald G.

Whitley, Ronald G. is an sole proprietor health care provider with primary practice located at 825 Gum Branch Rd Suite 128-D, Jacksonville NC 28540-6298. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Whitley, Ronald G. can be contacted via phone (910) 546-5809.

Contact Information

Primary practice address
825 Gum Branch Rd Suite 128-D Jacksonville NC 28540-6298
Phone: (910) 546-5809
Fax: (910) 347-2129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 481 North Carolina

Profile Details

NPI number 1831245745
LBN Legal business name Whitley, Ronald G.
Credentials MA,LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 9th, 2007 - about 19 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 1831245745 NPPES
North Carolina MEDICAID 6105152

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