Jackson, Richard Brendan

Jackson, Richard Brendan is an individual health care provider with primary practice located at 6221 Richards Dr , Shawnee KS 66216-1724. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jackson, Richard Brendan can be contacted via phone (913) 248-1943.

Contact Information

Primary practice address
6221 Richards Dr Shawnee KS 66216-1724
Phone: (913) 248-1943
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00906-T Kansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 03696 Kansas

Profile Details

NPI number 1912500554
LBN Legal business name Jackson, Richard Brendan
Credentials LPC, LMAC-T
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 5 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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