Jackson Henderson, Nia
Jackson Henderson, Nia is an sole proprietor health care provider with primary practice located at 11850 Wilshire Blvd Ste 200 , Los Angeles CA 90025-6629. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Interpreter, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Jackson Henderson, Nia can be contacted via phone (310) 894-8663.Contact Information
Primary practice address
11850 Wilshire Blvd Ste 200
Los Angeles CA 90025-6629
Phone: (310) 894-8663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Other Service Providers / Interpreter | 171R00000X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 129531 | California |
Profile Details
| NPI number | 1417608092 |
|---|---|
| LBN Legal business name | Jackson Henderson, Nia |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2022 |
| Last updated | Jan 14th, 2022 - about 2 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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