Jackson, William Spencer

Jackson, William Spencer is an individual health care provider with primary practice located at 880 W 12Th St , Reno NV 89503-2601. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jackson, William Spencer can be contacted via phone (775) 982-5318.

Contact Information

Primary practice address
880 W 12Th St Reno NV 89503-2601
Phone: (775) 982-5318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LADC 00248-L Nevada
Behavioral Health & Social Service Providers / Clinical 103TC0700X 13587 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0264 Nevada

Profile Details

NPI number 1366585226
LBN Legal business name Jackson, William Spencer
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Nov 10th, 2010 - about 15 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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