Jackson, Melanie Hope

Jackson, Melanie Hope is an individual health care provider with primary practice located at 2864 Dauphin St Suite A, Mobile AL 36606-2479. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Melanie Hope can be contacted via phone (251) 259-8573.

Contact Information

Primary practice address
2864 Dauphin St Suite A Mobile AL 36606-2479
Phone: (251) 259-8573
Fax: (251) 470-7609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1369 Alabama

Profile Details

NPI number 1619953726
LBN Legal business name Jackson, Melanie Hope
Credentials PHD, LLC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 30th, 2008 - about 17 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 1619953726 NPPES
Alabama Other H398 GROUP MEDICARE

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