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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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