Jackson, Angela
Jackson, Angela is an sole proprietor health care provider with primary practice located at 1607 Bradmere Ln , Lithia Springs GA 30122-3253. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jackson, Angela can be contacted via phone (678) 761-2770.Contact Information
Primary practice address
1607 Bradmere Ln
Lithia Springs GA 30122-3253
Phone: (678) 761-2770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 2020-12959 | Georgia |
Profile Details
| NPI number | 1194314732 |
|---|---|
| LBN Legal business name | Jackson, Angela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2021 |
| Last updated | Jan 17th, 2021 - about 3 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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