Jackson, Marlo

Jackson, Marlo is an individual health care provider with primary practice located at 3125 Poplarwood Ct Ste 203 , Raleigh NC 27604-6445. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Marlo can be contacted via phone (919) 787-6131.

Contact Information

Primary practice address
3125 Poplarwood Ct Ste 203 Raleigh NC 27604-6445
Phone: (919) 787-6131
Fax: (919) 571-2932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1396921441
LBN Legal business name Jackson, Marlo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Jan 18th, 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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