Jackson, Paris Davette

Jackson, Paris Davette is an sole proprietor health care provider with primary practice located at 1663 Hartman Ln Apt 9 , Belleville IL 62221-6842. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Paris Davette can be contacted via phone (618) 257-8809.

Contact Information

Primary practice address
1663 Hartman Ln Apt 9 Belleville IL 62221-6842
Phone: (618) 257-8809
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.008391 Illinois

Profile Details

NPI number 1881921088
LBN Legal business name Jackson, Paris Davette
Credentials LPCP, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2009
Last updated Jan 21st, 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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