Wilson, Jacqueline Holley

Wilson, Jacqueline Holley is an individual health care provider with primary practice located at 4305 S Lee St Ste 500 , Buford GA 30518-5785. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Jacqueline Holley can be contacted via phone (678) 602-9229.

Contact Information

Primary practice address
4305 S Lee St Ste 500 Buford GA 30518-5785
Phone: (678) 602-9229
Fax: (770) 995-1959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1740846039
LBN Legal business name Wilson, Jacqueline Holley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2019
Last updated Oct 17th, 2023 - about 3 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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