Jacquelyn Blake
Jacquelyn Blake is an Undefined Non-Physician Type (Specify) in Thomasville, North Carolina. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
1301 National HwyThomasville, NC 27360-2317
Phone: (336) 472-8230
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3335 Piedmont Memorial Dr, Winston Salem, NC 27107-4569 — (336) 997-2257
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1285355453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 7, 2022 |
| Last updated in NPPES | September 7, 2022 |
| Certification date | September 7, 2022 |
| Mailing address | 1301 National Hwy, Thomasville, NC 27360-2317 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Thomasville
-
Ashley Wishon Blevins
1301 National Hwy, Thomasville, NC 27360-2317 · (336) 472-8230
-
Phylicia R. Boles
1301 National Hwy, Thomasville, NC 27360-2317 · (336) 472-8230
-
Mrs. Allison Renee Butler, MSW, LCSW, LCAS
1527 Lexington Ave, Thomasville, NC 27360-3328 · (919) 745-7425
-
Dr. Thomas Earl Coleman, PHD
608 Burke Trl, Thomasville, NC 27360-2902 · (336) 472-3500