Individual
JENNA ANN BRACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 NC HIGHWAY 14, REIDSVILLE, NC 27320-8746
(336) 276-2022
Mailing address
3580 NC HIGHWAY 14, REIDSVILLE, NC 27320-8746
(336) 276-2022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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