Jackson, Veronica L
Jackson, Veronica L is an sole proprietor health care provider with primary practice located at 6526 Walnut Ave , Long Beach CA 90805-2533. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Jackson, Veronica L can be contacted via phone (562) 965-6434.Contact Information
Primary practice address
6526 Walnut Ave
Long Beach CA 90805-2533
Phone: (562) 965-6434
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | California | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | R1463570322 | California |
Profile Details
NPI number | 1245375617 |
---|---|
LBN Legal business name | Jackson, Veronica L |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 21st, 2007 |
Last updated | Apr 22nd, 2022 - 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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