Jackson, Melvora

Jackson, Melvora is an individual health care provider with primary practice located at 1000 Ward St , Martinez CA 94553-1360. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Melvora can be contacted via phone (925) 335-4764.

Contact Information

Primary practice address
1000 Ward St Martinez CA 94553-1360
Phone: (925) 335-4764
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1710037395
LBN Legal business name Jackson, Melvora
Credentials Master of Public Administration (MPA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated May 1st, 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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