Jackson, Andrea Marie

Jackson, Andrea Marie is an individual health care provider with primary practice located at 534 Pleasant View Way Nw Ste 200 , Albany OR 97321-1789. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jackson, Andrea Marie can be contacted via phone (541) 812-5760.

Contact Information

Primary practice address
534 Pleasant View Way Nw Ste 200 Albany OR 97321-1789
Phone: (541) 812-5760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3120 Oregon

Profile Details

NPI number 1194255877
LBN Legal business name Jackson, Andrea Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Nov 3rd, 2020 - about 5 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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