Jackson, Lisa

Jackson, Lisa is an individual health care provider with primary practice located at 715 Lane St , Coal Grove OH 45638-3161. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Lisa can be contacted via phone (740) 355-8606.

Contact Information

Primary practice address
715 Lane St Coal Grove OH 45638-3161
Phone: (740) 355-8606
Fax: (740) 353-1662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S-0015848 Ohio

Profile Details

NPI number 1265603500
LBN Legal business name Jackson, Lisa
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Mar 14th, 2008 - about 16 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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