Jackson, Bambi

Jackson, Bambi is an individual health care provider with primary practice located at 8304 Woodiron Dr , Duluth GA 30097-3755. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Jackson, Bambi can be contacted via phone (770) 299-9752.

Contact Information

Primary practice address
8304 Woodiron Dr Duluth GA 30097-3755
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1912474685
LBN Legal business name Jackson, Bambi
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2018
Last updated Oct 30th, 2018 - about 7 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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