Jackson, John Lawrence
Jackson, John Lawrence is an sole proprietor health care provider with primary practice located at 3056 S 700 E Apt C , Salt Lake City UT 84106-1682. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Jackson, John Lawrence can be contacted via phone (706) 936-6422.Contact Information
Primary practice address
3056 S 700 E Apt C
Salt Lake City UT 84106-1682
Phone: (706) 936-6422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 12900024-2501 | Utah |
Profile Details
| NPI number | 1649973850 |
|---|---|
| LBN Legal business name | Jackson, John Lawrence |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2023 |
| Last updated | Mar 24th, 2023 - 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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