Jackson, Jolita

Jackson, Jolita is an individual health care provider with primary practice located at 33 E Main St Ste 5 , Franklin NC 28734-3059. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Jolita can be contacted via phone (828) 524-6390.

Contact Information

Primary practice address
33 E Main St Ste 5 Franklin NC 28734-3059
Phone: (828) 524-6390
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3199 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1851596928
LBN Legal business name Jackson, Jolita
Credentials LPCS, L CAS, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jan 18th, 2018 - about 7 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 1851596928 NPPES
North Carolina MEDICAID 6102469

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