Jackson, Annie

Jackson, Annie is an sole proprietor health care provider with primary practice located at 4616 Northaven Dr , Charlotte NC 28206-1730. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jackson, Annie can be contacted via phone (704) 597-8370.

Contact Information

Primary practice address
4616 Northaven Dr Charlotte NC 28206-1730
Phone: (704) 597-8370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 412 North Carolina
Behavioral Health & Social Service Providers / Pastoral 101YP1600X North Carolina

Profile Details

NPI number 1831409374
LBN Legal business name Jackson, Annie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2010
Last updated Oct 18th, 2010 - about 14 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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