Jackson, Terrance Lamont

Jackson, Terrance Lamont is an sole proprietor health care provider with primary practice located at 2155 Georgetown Rd Ne , Canton OH 44704-2257. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is his primary health care specialty. Jackson, Terrance Lamont can be contacted via phone (816) 377-7225.

Contact Information

Primary practice address
2155 Georgetown Rd Ne Canton OH 44704-2257
Phone: (816) 377-7225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1467134544
LBN Legal business name Jackson, Terrance Lamont
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2023
Last updated Aug 7th, 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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