Jackson, Anne Elizabeth

Jackson, Anne Elizabeth is an sole proprietor health care provider with primary practice located at 1101 College Ave Ste 230, Santa Rosa CA 95404-3956. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Anne Elizabeth can be contacted via phone (650) 444-3260.

Contact Information

Primary practice address
1101 College Ave Ste 230 Santa Rosa CA 95404-3956
Phone: (650) 444-3260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY17785 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17785 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY17785 California

Profile Details

NPI number 1619127537
LBN Legal business name Jackson, Anne Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2008
Last updated Feb 6th, 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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