Thompson, Jacquelyn

Thompson, Jacquelyn is an individual health care provider with primary practice located at 1256 Highway 138 Sw , Riverdale GA 30296-1402. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Thompson, Jacquelyn can be contacted via phone (770) 994-2223.

Contact Information

Primary practice address
1256 Highway 138 Sw Riverdale GA 30296-1402
Fax: (770) 994-2224
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891970695
LBN Legal business name Thompson, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Dec 31st, 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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