Jackson, Jessica
Jackson, Jessica is an individual health care provider with primary practice located at 77 Warren St Building #9, Brighton MA 02135-3601. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Jessica can be contacted via phone (617) 254-0964.Contact Information
Primary practice address
77 Warren St Building #9
Brighton MA 02135-3601
Phone: (617) 254-0964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 113911 | Massachusetts |
Profile Details
| NPI number | 1114076684 |
|---|---|
| LBN Legal business name | Jackson, Jessica |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 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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