Jackson, Katherine Thompson

Jackson, Katherine Thompson is an sole proprietor health care provider with primary practice located at 1221 Jefferson Park Ave , Charlottesville VA 22908-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Hospitals / Critical Access. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Jackson, Katherine Thompson can be contacted via phone (434) 924-2642.

Contact Information

Primary practice address
1221 Jefferson Park Ave Charlottesville VA 22908-0001
Phone: (434) 924-2642
Fax: (434) 924-1139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Virginia
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1619412228
LBN Legal business name Jackson, Katherine Thompson
Credentials M.DIV.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2017
Last updated Jan 5th, 2017 - about 8 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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