Milbourne-Jackson, Marshe Marie

Milbourne-Jackson, Marshe Marie is an individual health care provider with primary practice located at 2101 Executive Dr Suite 5C, Box19, Hampton VA 23666-2404. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Milbourne-Jackson, Marshe Marie can be contacted via phone (757) 827-7707.

Contact Information

Primary practice address
2101 Executive Dr Suite 5C, Box19 Hampton VA 23666-2404
Phone: (757) 827-7707
Fax: (757) 838-2573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004014 Virginia

Profile Details

NPI number 1619980091
LBN Legal business name Milbourne-Jackson, Marshe Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619980091 NPPES
Virginia Other 0701004014 LPC

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