Jackson, Dorothy Jane

Jackson, Dorothy Jane is an individual health care provider with primary practice located at 350 S Main St Adolescent &Family Counseling Center, Cheshire CT 06410-3160. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Dorothy Jane can be contacted via phone (203) 271-1234.

Contact Information

Primary practice address
350 S Main St Adolescent &Family Counseling Center Cheshire CT 06410-3160
Fax: (203) 272-9094
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000101 Connecticut

Profile Details

NPI number 1104876374
LBN Legal business name Jackson, Dorothy Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104876374 NPPES
Connecticut Other 1288076 AETNA
Connecticut Other 1400000101CT02 AETNA

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