Scott, Edmund Jackson

Scott, Edmund Jackson is an individual health care provider with primary practice located at 187 W Broad St Ste 200 , Spartanburg SC 29306-3234. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Scott, Edmund Jackson can be contacted via phone (864) 707-2801.

Contact Information

Primary practice address
187 W Broad St Ste 200 Spartanburg SC 29306-3234
Phone: (864) 707-2801
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X South Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 6255 South Carolina

Profile Details

NPI number 1003270794
LBN Legal business name Scott, Edmund Jackson
Credentials LMFT-I, CAC-P
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2016
Last updated Apr 8th, 2016 - 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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