JENNA STAUB LCSW-A LCAS-A NPI 1629673835

NPI Information

NPI: 1629673835
Provider Name: JENNA STAUB, LCSW-A, LCAS-A
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
503 COVIL AVE STE 102
WILMINGTON, NC
ZIP 28403
Phone: (910) 995-4154
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Jenna Staub, LCSW-A, LCAS-A is an addiction (substance use disorder) counselor in Wilmington, NC. Jenna Staub, LCSW-A, LCAS-A NPI is 1629673835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

503 COVIL AVE STE 102
WILMINGTON, NC
ZIP 28403-683
Phone: (910) 995-4154

The enumeration date for this NPI number is 12/3/2020 and was last updated on 4/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106S00000X	Behavior Technician			NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	29080	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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