Golden-Jackson, Loretta R

Golden-Jackson, Loretta R is an individual health care provider with primary practice located at 73 Westwood Dr , Park Forest IL 60466-1414. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Golden-Jackson, Loretta R can be contacted via phone (708) 754-8815.

Contact Information

Primary practice address
73 Westwood Dr Park Forest IL 60466-1414
Phone: (708) 754-8815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1649574260
LBN Legal business name Golden-Jackson, Loretta R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2010
Last updated Dec 23rd, 2010 - about 14 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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