Roberson, Jackie C
Roberson, Jackie C is an individual health care provider with primary practice located at 3528 Antioch Rd , Cedartown GA 30125-5910. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roberson, Jackie C can be contacted via phone (770) 748-2010.Contact Information
Primary practice address
3528 Antioch Rd
Cedartown GA 30125-5910
Phone: (770) 748-2010
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
NPI number | 1841471067 |
---|---|
LBN Legal business name | Roberson, Jackie C |
Credentials | BS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2007 |
Last updated | Nov 15th, 2007 - about 17 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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