Jackson, Christopher S

Jackson, Christopher S is an individual health care provider with primary practice located at 72 Winthrop Street , Augusta ME 04330. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jackson, Christopher S can be contacted via phone (207) 626-3478.

Contact Information

Primary practice address
72 Winthrop Street Augusta ME 04330
Phone: (207) 626-3478
Fax: (207) 626-7586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X MC8738 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11460 Maine

Profile Details

NPI number 1821145525
LBN Legal business name Jackson, Christopher S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 2nd, 2011 - about 14 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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