Cottrell-Jackson, William

Cottrell-Jackson, William is an sole proprietor health care provider with primary practice located at 10356 Falcon Gate Loop Apt 102 , Riverview FL 33569-5825. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Cottrell-Jackson, William can be contacted via phone (404) 490-0221.

Contact Information

Primary practice address
10356 Falcon Gate Loop Apt 102 Riverview FL 33569-5825
Phone: (404) 490-0221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X APC006552 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC0129 Georgia

Profile Details

NPI number 1083171896
LBN Legal business name Cottrell-Jackson, William
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2019
Last updated May 2nd, 2023 - 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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