Jackson, Winnie Fong

Jackson, Winnie Fong is an individual health care provider with primary practice located at 2817 Rock Merritt Ave Stop A , Fort Liberty NC 28310-2540. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Winnie Fong can be contacted via phone (910) 907-6825.

Contact Information

Primary practice address
2817 Rock Merritt Ave Stop A Fort Liberty NC 28310-2540
Phone: (910) 907-6825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810007677 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6345 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PSYA00208 District of Columbia

Profile Details

NPI number 1467959759
LBN Legal business name Jackson, Winnie Fong
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2018
Last updated Mar 28th, 2024 - about last year

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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