Jackson, Vanessa

Jackson, Vanessa is an sole proprietor health care provider with primary practice located at 4800 Pine St Apt A102 , Phila PA 19143-1749. 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, Vanessa can be contacted via phone (267) 819-9706.

Contact Information

Primary practice address
4800 Pine St Apt A102 Phila PA 19143-1749
Phone: (267) 819-9706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X BH001472 Pennsylvania

Profile Details

NPI number 1063812451
LBN Legal business name Jackson, Vanessa
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2014
Last updated Sep 4th, 2014 - about 10 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.

Request for update

Popular Providers