Jackson, Jameela A

Jackson, Jameela A is an individual health care provider with primary practice located at 6701 Highway 67 , Benton AR 72015-8909. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Jameela A can be contacted via phone (501) 303-3105.

Contact Information

Primary practice address
6701 Highway 67 Benton AR 72015-8909
Phone: (501) 303-3105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X A1510138 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1808113 Arkansas
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1760781439
LBN Legal business name Jackson, Jameela A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Sep 19th, 2018 - about 6 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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