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:
Health care specialties
| Specialty | Code | License # | 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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