Small, Jackie
Small, Jackie is an sole proprietor health care provider with primary practice located at 1 Turkey Hill Rd S Suite 2L, Westport CT 06880-5525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Lactation Consultant, Non-RN. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Small, Jackie can be contacted via phone (646) 246-7379.Contact Information
Primary practice address
1 Turkey Hill Rd S Suite 2L
Westport CT 06880-5525
Phone: (646) 246-7379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3158 | Connecticut |
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | ALPP-203587 | Connecticut |
Profile Details
| NPI number | 1093115974 |
|---|---|
| LBN Legal business name | Small, Jackie |
| Credentials | MA, LPC, CLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2014 |
| Last updated | Mar 31st, 2017 - about 7 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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