Jackson, Clifford

Jackson, Clifford is an sole proprietor health care provider with primary practice located at 1199 Arabian Dr , Asheboro NC 27205-1802. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jackson, Clifford can be contacted via phone (336) 626-7901.

Contact Information

Primary practice address
1199 Arabian Dr Asheboro NC 27205-1802
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007745 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X C007745 North Carolina

Profile Details

NPI number 1356603054
LBN Legal business name Jackson, Clifford
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2012
Last updated Jun 9th, 2012 - about 12 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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