Jackson, Shasa
Jackson, Shasa is an individual health care provider with primary practice located at 950 E Van Buren St , Avondale AZ 85323-1506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Shasa can be contacted via phone (623) 344-6860.Contact Information
Primary practice address
950 E Van Buren St
Avondale AZ 85323-1506
Phone: (623) 344-6860
Fax: (602) 655-9682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-20522 | Arizona |
Profile Details
| NPI number | 1013640036 |
|---|---|
| LBN Legal business name | Jackson, Shasa |
| Credentials | LCSW, DBH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2022 |
| Last updated | Jul 7th, 2022 - about 2 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.
Popular Providers
-
Beltran, Theresa
13065 W Mcdowell Rd Suite C-113, Avondale AZ 85323-6439 -
Friedman, Ellen
13055 West Mcdowell Rd G-112, Avondale AZ 85392 -
Klett, Danielle
235 W Western Ave , Avondale AZ 85323-1848 -
Apolinar, Diana P
12725 W Indian School Rd Suite E-101, Avondale AZ 85392-9520 -
Johnson, Stephanie Amaris
235 W Western Ave , Avondale AZ 85323-1848 -
Pollard, Marnie
12725 W Indian School Rd Ste E101 , Avondale AZ 85392-9525 -
Huang, Mindy
12725 W Indian School Rd Ste E101 , Avondale AZ 85392-9525 -
Zendejas, Viridiana
2614 S 119Th Dr , Avondale AZ 85323-7652