Jackson, Whitley V
Jackson, Whitley V is an sole proprietor health care provider with primary practice located at 547 North Ave Ste 152 , New Rochelle NY 10801-2601. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Jackson, Whitley V can be contacted via phone (646) 543-9735.Contact Information
Primary practice address
547 North Ave Ste 152
New Rochelle NY 10801-2601
Phone: (646) 543-9735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 001764 | New York |
Profile Details
| NPI number | 1346906450 |
|---|---|
| LBN Legal business name | Jackson, Whitley V |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2021 |
| Last updated | Nov 12th, 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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