Jackson, Evelena

Jackson, Evelena is an individual health care provider with primary practice located at 1135 Gregg Hwy , Aiken SC 29801-6341. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jackson, Evelena can be contacted via phone (803) 641-7700.

Contact Information

Primary practice address
1135 Gregg Hwy Aiken SC 29801-6341
Phone: (803) 641-7700
Fax: (803) 641-7709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 004393 South Carolina

Profile Details

NPI number 1356418552
LBN Legal business name Jackson, Evelena
Credentials LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
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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