Rackley, Jefferson Blake
Rackley, Jefferson Blake is an individual health care provider with primary practice located at 63 Springs Station Dr. , Franklin Springs GA 30639. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Rackley, Jefferson Blake can be contacted via phone (706) 246-0733.Contact Information
Primary practice address
63 Springs Station Dr.
Franklin Springs GA 30639
Phone: (706) 246-0733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1609187053 |
|---|---|
| LBN Legal business name | Rackley, Jefferson Blake |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2010 |
| Last updated | Jun 30th, 2010 - about 16 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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