Jackson, Kimberly Deon

Jackson, Kimberly Deon is an individual health care provider with primary practice located at 365 W Reed Rd Ste A-1 , Greenville MS 38701-6967. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Kimberly Deon can be contacted via phone (662) 820-1817.

Contact Information

Primary practice address
365 W Reed Rd Ste A-1 Greenville MS 38701-6967
Phone: (662) 820-1817
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1548776867
LBN Legal business name Jackson, Kimberly Deon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2017
Last updated Dec 22nd, 2017 - 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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