Bostick, Jackie

Bostick, Jackie is an individual health care provider with primary practice located at 8111 Crestview Dr Se , Covington GA 30014-3263. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Bostick, Jackie can be contacted via phone (678) 787-9339.

Contact Information

Primary practice address
8111 Crestview Dr Se Covington GA 30014-3263
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1396500096
LBN Legal business name Bostick, Jackie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2024
Last updated Feb 29th, 2024 - about 10 months 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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