Jackson, Lisa Ann

Jackson, Lisa Ann is an sole proprietor health care provider with primary practice located at 2834 Remington Green Cir Ste 104 , Tallahassee FL 32308-3760. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Lisa Ann can be contacted via phone (850) 296-6811.

Contact Information

Primary practice address
2834 Remington Green Cir Ste 104 Tallahassee FL 32308-3760
Phone: (850) 296-6811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1881233534
LBN Legal business name Jackson, Lisa Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2019
Last updated Dec 29th, 2019 - about 6 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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