Jackson, Helen Marie
Jackson, Helen Marie is an sole proprietor health care provider with primary practice located at 7430 218Th St Sw Apt 4 , Edmonds WA 98026-8007. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Helen Marie can be contacted via phone (972) 639-4246.Contact Information
Primary practice address
7430 218Th St Sw Apt 4
Edmonds WA 98026-8007
Phone: (972) 639-4246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00007344 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 51043 | Texas |
Profile Details
| NPI number | 1588875785 |
|---|---|
| LBN Legal business name | Jackson, Helen Marie |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2007 |
| Last updated | Aug 3rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588875785 | NPPES |
| Texas | MEDICAID | 203186601 |
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