Boling, Jackie
Boling, Jackie is an individual health care provider with primary practice located at 401 Jordan Dr , Bossier City LA 71112-4079. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boling, Jackie can be contacted via phone (707) 548-9996.Contact Information
Primary practice address
401 Jordan Dr
Bossier City LA 71112-4079
Phone: (707) 548-9996
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW.09926683 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 104821 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 16719 | Louisiana |
Profile Details
| NPI number | 1386181790 |
|---|---|
| LBN Legal business name | Boling, Jackie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2017 |
| Last updated | Aug 9th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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