Jackson, Cynthia Ann
Jackson, Cynthia Ann is an sole proprietor health care provider with primary practice located at 6680 Main St , Williamsville NY 14221-5933. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Cynthia Ann can be contacted via phone (716) 631-9212.Contact Information
Primary practice address
6680 Main St
Williamsville NY 14221-5933
Phone: (716) 631-9212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 052706 | New York |
Profile Details
| NPI number | 1609065861 |
|---|---|
| LBN Legal business name | Jackson, Cynthia Ann |
| Credentials | LCSW-R,CASAC,CEAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Oct 23rd, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609065861 | NPPES |
| New York | Other | 11515193 | UNIVERA HEALTHCARE |
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