Jackson, Witni
Jackson, Witni is an individual health care provider with primary practice located at 853 Battlecreek Rd , Jonesboro GA 30236-1919. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Witni can be contacted via phone (770) 478-1099.Contact Information
Primary practice address
853 Battlecreek Rd
Jonesboro GA 30236-1919
Phone: (770) 478-1099
Fax: (770) 478-8722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW004999 | Georgia |
Profile Details
| NPI number | 1083028112 |
|---|---|
| LBN Legal business name | Jackson, Witni |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2014 |
| Last updated | Jun 17th, 2014 - about 11 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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