Jackson, Elaine White
Jackson, Elaine White is an individual health care provider with primary practice located at 14843 W Sprague Rd Suite A, Strongsville OH 44136-1754. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Elaine White can be contacted via phone (440) 234-9955.Contact Information
Primary practice address
14843 W Sprague Rd Suite A
Strongsville OH 44136-1754
Phone: (440) 234-9955
Fax: (440) 234-5994
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E0001726 | Ohio |
Profile Details
NPI number | 1548310048 |
---|---|
LBN Legal business name | Jackson, Elaine White |
Credentials | LPCC,IIMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1548310048 | NPPES |
Ohio | Other | E0001726 | LPCC |
Ohio | Other | F0000082 | LPCC |
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