Jackson, Tonya Sue

Jackson, Tonya Sue is an individual health care provider with primary practice located at 5411 Coliseum Blvd , Alexandria LA 71303-3729. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Jackson, Tonya Sue can be contacted via phone (318) 484-2347.

Contact Information

Primary practice address
5411 Coliseum Blvd Alexandria LA 71303-3729
Phone: (318) 484-2347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 1072 Louisiana

Profile Details

NPI number 1255657243
LBN Legal business name Jackson, Tonya Sue
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2010
Last updated Dec 14th, 2021 - about 3 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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