Jackson, Leon Tremain

Jackson, Leon Tremain is an sole proprietor health care provider with primary practice located at 1115B Openwood St , Vicksburg MS 39183-2533. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Jackson, Leon Tremain can be contacted via phone (318) 341-2202.

Contact Information

Primary practice address
1115B Openwood St Vicksburg MS 39183-2533
Phone: (318) 341-2202
Fax: (601) 501-1030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2016 Mississippi
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2016 Mississippi
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2016 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 2016 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2016 Mississippi

Profile Details

NPI number 1699141531
LBN Legal business name Jackson, Leon Tremain
Credentials EDS, MS, NCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2015
Last updated Aug 14th, 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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