Jackson, Shauntay

Jackson, Shauntay is an individual health care provider with primary practice located at 1 Chestnut St Fl 2 , Cold Spring NY 10516-2516. 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, Shauntay can be contacted via phone (845) 335-5615.

Contact Information

Primary practice address
1 Chestnut St Fl 2 Cold Spring NY 10516-2516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X P113004 New York

Profile Details

NPI number 1902549405
LBN Legal business name Jackson, Shauntay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2022
Last updated Apr 14th, 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.

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