Jackson-Adams, Adriaenna
Jackson-Adams, Adriaenna is an individual health care provider with primary practice located at 520 Dudley St , Roxbury MA 02119-2769. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson-Adams, Adriaenna can be contacted via phone (617) 785-7723.Contact Information
Primary practice address
520 Dudley St
Roxbury MA 02119-2769
Phone: (617) 785-7723
Fax: (617) 445-2672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 25725 |
Profile Details
| NPI number | 1366813289 |
|---|---|
| LBN Legal business name | Jackson-Adams, Adriaenna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2015 |
| Last updated | Nov 10th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366813289 | NPPES |
| Massachusetts | Other | 043082352 | MASS HEALTH -MBHP |
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