Jackson, Tasha Rose

Jackson, Tasha Rose is an sole proprietor health care provider with primary practice located at 400 Market St , Camden NJ 08102-1526. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Tasha Rose can be contacted via phone (856) 541-1700.

Contact Information

Primary practice address
400 Market St Camden NJ 08102-1526
Phone: (856) 541-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1144406075
LBN Legal business name Jackson, Tasha Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2008
Last updated Aug 8th, 2023 - about last year

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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