Individual
JACQUELYN C BETTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
3724 NATIONAL DR, SUITE 101, RALEIGH, NC 27612-4070
(919) 850-3410
(919) 850-9825
Mailing address
3724 NATIONAL DR, SUITE 101, RALEIGH, NC 27612-4070
(919) 850-3410
(919) 850-9825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
173
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131GG
BCBS PROVIDER NUMBER
NC
Enumeration date
06/04/2006
Last updated
07/08/2007
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