Jackson, Adam
Jackson, Adam is an individual health care provider with primary practice located at 31912 Little Boston Rd Ne , Kingston WA 98346-9700. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Adam can be contacted via phone (360) 297-6329.Contact Information
Primary practice address
31912 Little Boston Rd Ne
Kingston WA 98346-9700
Phone: (360) 297-6329
Fax: (360) 297-9678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CO60375850 | Washington |
Profile Details
| NPI number | 1942734884 |
|---|---|
| LBN Legal business name | Jackson, Adam |
| Credentials | CDPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2017 |
| Last updated | Apr 18th, 2017 - about 8 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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