Jackson, Melanie J

Jackson, Melanie J is an sole proprietor health care provider with primary practice located at 5840 Red Bug Lake Rd #1548, Winter Springs FL 32708-5011. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Melanie J can be contacted via phone (423) 342-6422.

Contact Information

Primary practice address
5840 Red Bug Lake Rd #1548 Winter Springs FL 32708-5011
Phone: (423) 342-6422
Fax: (407) 695-8803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 3045 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X NCC 33945 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 18548 Texas

Profile Details

NPI number 1013228600
LBN Legal business name Jackson, Melanie J
Credentials MS, LMHC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2010
Last updated Jun 8th, 2020 - about 4 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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