Jackson, Melody
Jackson, Melody is an sole proprietor health care provider with primary practice located at 1263 Prince Dr , South Holland IL 60473-1128. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Melody can be contacted via phone (773) 507-2660.Contact Information
Primary practice address
1263 Prince Dr
South Holland IL 60473-1128
Phone: (773) 507-2660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.015461 | Illinois |
Profile Details
| NPI number | 1619216413 |
|---|---|
| LBN Legal business name | Jackson, Melody |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2013 |
| Last updated | Feb 14th, 2013 - about 11 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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