Individual provider · Type 1 NPI

Jenna Staub, LCSW-A, LCAS-A

Addiction (Substance Use Disorder) Counselor · Wilmington, NC

NPI number 1629673835 Active

Practice location

503 Covil Ave Ste 102
Wilmington, NC 28403-2683

Call (910) 995-4154 Map

Mailing address

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000

Other practice locations

  • 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 · (877) 418-2978

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X29080 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1629673835

Jenna Staub, LCSW-A, LCAS-A's National Provider Identifier is 1629673835, issued on Dec 3, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, NC. The record was last updated on Apr 13, 2024.