Jackson, Carrie

Jackson, Carrie is an individual health care provider with primary practice located at 3252 Holiday Ct Ste 107 , La Jolla CA 92037-1807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Jackson, Carrie can be contacted via phone (803) 206-1550.

Contact Information

Primary practice address
3252 Holiday Ct Ste 107 La Jolla CA 92037-1807
Phone: (803) 206-1550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 32824 California

Profile Details

NPI number 1225690043
LBN Legal business name Jackson, Carrie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2019
Last updated Jul 12th, 2023 - about 2 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.

Request for update

Popular Providers