Shorts, Jaquita

Shorts, Jaquita is an sole proprietor health care provider with primary practice located at 1705 Pennslyvania Ave , Mcdonough GA 30252. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shorts, Jaquita can be contacted via phone (678) 853-5849.

Contact Information

Primary practice address
1705 Pennslyvania Ave Mcdonough GA 30252
Phone: (678) 853-5849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001529 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC010510 Georgia

Profile Details

NPI number 1518322395
LBN Legal business name Shorts, Jaquita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2015
Last updated Nov 8th, 2020 - about 5 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.

Request for update

Popular Providers