Jackson, Marcus George

Jackson, Marcus George is an sole proprietor health care provider with primary practice located at 3925 N I 10 Service Rd W Ste 117 , Metairie LA 70002-6831. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Peer Specialist is his primary health care specialty. Jackson, Marcus George can be contacted via phone (504) 455-2446.

Contact Information

Primary practice address
3925 N I 10 Service Rd W Ste 117 Metairie LA 70002-6831
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X OBHPSS856 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X NA Louisiana

Profile Details

NPI number 1912658238
LBN Legal business name Jackson, Marcus George
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2022
Last updated May 31st, 2022 - about 3 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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