Jackson, Wealthia Lyna
Jackson, Wealthia Lyna is an sole proprietor health care provider with primary practice located at 11115 Sandwood Dr , Keithville LA 71047-8345. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jackson, Wealthia Lyna can be contacted via phone (318) 393-6935.Contact Information
Primary practice address
11115 Sandwood Dr
Keithville LA 71047-8345
Phone: (318) 393-6935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | LSSP009 | Louisiana |
Profile Details
| NPI number | 1811412448 |
|---|---|
| LBN Legal business name | Jackson, Wealthia Lyna |
| Credentials | LICENSED SCHOOL PSYC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2017 |
| Last updated | Jul 21st, 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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