Maguire Jackson, Colleen
Maguire Jackson, Colleen is an sole proprietor health care provider with primary practice located at 703 3Rd St , West Lafayette IN 47907-2081. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Maguire Jackson, Colleen can be contacted via phone (765) 494-6995.Contact Information
Primary practice address
703 3Rd St
West Lafayette IN 47907-2081
Phone: (765) 494-6995
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20042613A | Indiana |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 20042613A | Indiana |
Profile Details
NPI number | 1417384504 |
---|---|
LBN Legal business name | Maguire Jackson, Colleen |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2013 |
Last updated | Apr 28th, 2015 - about 9 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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