Jackson, Marvina

Jackson, Marvina is an sole proprietor health care provider with primary practice located at 218A Sunset Rd , Willingboro NJ 08046-1110. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Marvina can be contacted via phone (609) 835-6180.

Contact Information

Primary practice address
218A Sunset Rd Willingboro NJ 08046-1110
Phone: (609) 835-6180
Fax: (609) 835-7962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Specialist 174400000X S4356 New Jersey

Profile Details

NPI number 1356584528
LBN Legal business name Jackson, Marvina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2009
Last updated Apr 17th, 2009 - about 15 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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