Jackson, Emily Nicole

Jackson, Emily Nicole is an individual health care provider with primary practice located at 16150 Ne 85Th St Ste 120 , Redmond WA 98052-3542. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Emily Nicole can be contacted via phone (425) 868-5777.

Contact Information

Primary practice address
16150 Ne 85Th St Ste 120 Redmond WA 98052-3542
Phone: (425) 868-5777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO60912147 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC61006566 Washington

Profile Details

NPI number 1366033268
LBN Legal business name Jackson, Emily Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2021
Last updated Feb 2nd, 2021 - about 3 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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