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
Phone: (845) 335-5615
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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