| Barbara Ann Jacques | |
|
3806 Peachtree Ave Ste 210 Wilmington NC 28403-6752 | |
| (910) 251-7789 | |
| Not Available |
| Full Name | Barbara Ann Jacques |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3806 Peachtree Ave Ste 210, Wilmington, North Carolina |
| Authorized Official Name and Position | Barbara Ann Jacques (OWNER) |
| Authorized Official Contact | 4107073246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Ann Jacques 6831 Glass Pond Ct Sw Ocean Isle Beach NC 28469-5578 Ph: (410) 707-3246 | Barbara Ann Jacques 3806 Peachtree Ave Ste 210 Wilmington NC 28403-6752 Ph: (910) 251-7789 |
| NPI Number | 1760067706 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760067706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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