Jackson, Judy
Jackson, Judy is an sole proprietor health care provider with primary practice located at 2801 Buford Hwy Ne Suite T30, Brookhaven GA 30329-2149. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Judy can be contacted via phone (678) 856-5031.Contact Information
Primary practice address
2801 Buford Hwy Ne Suite T30
Brookhaven GA 30329-2149
Phone: (678) 856-5031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC007193 | Georgia |
Profile Details
| NPI number | 1255700571 |
|---|---|
| LBN Legal business name | Jackson, Judy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Sep 16th, 2015 - about 10 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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