Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1013053578 |
---|---|
Provider Name | Jacqueline L Akins |
First Address | Newark, DE 19711-7311 |
Second Address | Newark, DE 19711-7311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 09/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000039268 | (05) | DE |
81-0959824 | (05) | DE |