Individual
ELIZABETH DONNA JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CFAE,CSAC,CCS
Contact information
Practice address
202 E WATER ST, BEHAVIORAL HEALTH SERVICES, BELHAVEN, NC 27810-1450
(252) 943-2111
(252) 944-2207
Mailing address
202 E WATER ST, BEHAVIORAL HEALTH SERVICES, BELHAVEN, NC 27810-1450
(252) 943-2111
(252) 944-2207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CCS 42 CSAC 834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110545
—
NC
Enumeration date
03/07/2007
Last updated
07/08/2007
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