Jackson, Nicole C

Jackson, Nicole C is an individual health care provider with primary practice located at 6333 Odana Rd , Madison WI 53719-1170. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Jackson, Nicole C can be contacted via phone (608) 270-2511.

Contact Information

Primary practice address
6333 Odana Rd Madison WI 53719-1170
Phone: (608) 270-2511
Fax: (608) 270-0467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 776124 Wisconsin

Profile Details

NPI number 1821285206
LBN Legal business name Jackson, Nicole C
Credentials MS LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Sep 28th, 2007 - 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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