Jackson, Alexandra Sharon
Jackson, Alexandra Sharon is an sole proprietor health care provider with primary practice located at 3231 Bixby Way , Stockton CA 95209-1573. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Alexandra Sharon can be contacted via phone (209) 477-2005.Contact Information
Primary practice address
3231 Bixby Way
Stockton CA 95209-1573
Phone: (209) 477-2005
Fax: (209) 477-2005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS22763 | California |
Profile Details
| NPI number | 1548384662 |
|---|---|
| LBN Legal business name | Jackson, Alexandra Sharon |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jan 10th, 2013 - about 11 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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