Jackson, Chante Monique
Jackson, Chante Monique is an sole proprietor health care provider with primary practice located at 1031 Old Cassatt Rd Ste 100 , Berwyn PA 19312-1152. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Chante Monique can be contacted via phone (215) 785-6835.Contact Information
Primary practice address
1031 Old Cassatt Rd Ste 100
Berwyn PA 19312-1152
Phone: (215) 785-6835
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC016536 | Pennsylvania |
Profile Details
NPI number | 1073382669 |
---|---|
LBN Legal business name | Jackson, Chante Monique |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 25th, 2023 |
Last updated | Dec 25th, 2023 - about last year |
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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