Jackson, Marsha D

Jackson, Marsha D is an individual health care provider with primary practice located at 2400 W Main St , Rock Hill SC 29732-8968. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Marsha D can be contacted via phone (803) 327-6103.

Contact Information

Primary practice address
2400 W Main St Rock Hill SC 29732-8968
Phone: (803) 327-6103
Fax: (803) 328-5443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1597 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2842 South Carolina

Profile Details

NPI number 1598830937
LBN Legal business name Jackson, Marsha D
Credentials M.ED.,L.M.S.W.,L.P.C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated May 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598830937 NPPES
South Carolina Other 570629234006 BCBS

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