Jackson, Selena

Jackson, Selena is an individual health care provider with primary practice located at 1901 E 1St St , Newton KS 67114-5010. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Selena can be contacted via phone (316) 284-6400.

Contact Information

Primary practice address
1901 E 1St St Newton KS 67114-5010
Phone: (316) 284-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2781 Kansas

Profile Details

NPI number 1679096960
LBN Legal business name Jackson, Selena
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Jul 19th, 2017 - about 8 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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