Jackson, Cherise Lee

Jackson, Cherise Lee is an individual health care provider with primary practice located at 335 6Th St , Hollister CA 95023-3834. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Cherise Lee can be contacted via phone (831) 265-7317.

Contact Information

Primary practice address
335 6Th St Hollister CA 95023-3834
Phone: (831) 265-7317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CI35650522 California

Profile Details

NPI number 1336715085
LBN Legal business name Jackson, Cherise Lee
Credentials CADC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2021
Last updated Jan 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336715085 NPPES
California Other R1376770120 CCAPP

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