Jackson, Emily Brockett
Jackson, Emily Brockett is an sole proprietor health care provider with primary practice located at 1670 Clairmont Road Atlanta Va Medical Center, Decatur GA 30033. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Jackson, Emily Brockett can be contacted via phone (404) 429-0419.Contact Information
Primary practice address
1670 Clairmont Road Atlanta Va Medical Center
Decatur GA 30033
Phone: (404) 429-0419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY003380 | Georgia |
Profile Details
| NPI number | 1003126962 |
|---|---|
| LBN Legal business name | Jackson, Emily Brockett |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2010 |
| Last updated | Oct 13th, 2010 - about 14 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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