Jackson, Antoinette

Jackson, Antoinette is an individual health care provider with primary practice located at 5965 S 900 E , Murray UT 84121-1720. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Antoinette can be contacted via phone (801) 263-7100.

Contact Information

Primary practice address
5965 S 900 E Murray UT 84121-1720
Phone: (801) 263-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1225336514
LBN Legal business name Jackson, Antoinette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2011
Last updated Mar 10th, 2011 - about 13 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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