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
Fax: (440) 234-5994
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548310048 NPPES
Ohio Other E0001726 LPCC
Ohio Other F0000082 LPCC

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