Jackson, Janet E.

Jackson, Janet E. is an sole proprietor health care provider with primary practice located at 321 N. Hull St. 'Old Alabama Town', Montgomery AL 36104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Janet E. can be contacted via phone (334) 262-1434.

Contact Information

Primary practice address
321 N. Hull St. 'Old Alabama Town' Montgomery AL 36104
Phone: (334) 262-1434
Fax: (334) 262-1435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1661 Alabama
Behavioral Health & Social Service Providers / Mental Health 101YM0800X #1661/SLPC#448 Alabama
Behavioral Health & Social Service Providers / Mental Health 101YM0800X #1661;#448 Alabama

Profile Details

NPI number 1124015284
LBN Legal business name Jackson, Janet E.
Credentials M.ED., SLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Mar 21st, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124015284 NPPES
Other 515-09617 BLUE CROSS FED'L
Other 051512316 BLUE CROSS FED'L

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