Jackson, Jacqueline D.S.
Jackson, Jacqueline D.S. is an sole proprietor health care provider with primary practice located at 800 Menlo Ave #209, Menlo Park CA 94025-4750. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Jacqueline D.S. can be contacted via phone (650) 321-5206.Contact Information
Primary practice address
800 Menlo Ave #209
Menlo Park CA 94025-4750
Phone: (650) 321-5206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY8816 | California |
Profile Details
| NPI number | 1033268909 |
|---|---|
| LBN Legal business name | Jackson, Jacqueline D.S. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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