Edwards, Jackson K

Edwards, Jackson K is an individual health care provider with primary practice located at 650 Henderson Dr Ste 430 , Cartersville GA 30120-3760. He 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 his primary health care specialty. Edwards, Jackson K can be contacted via phone (404) 334-5859.

Contact Information

Primary practice address
650 Henderson Dr Ste 430 Cartersville GA 30120-3760
Phone: (404) 334-5859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X MSW006645 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW006235 Georgia

Profile Details

NPI number 1942686175
LBN Legal business name Edwards, Jackson K
Credentials DMIN., LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Jun 26th, 2018 - about 8 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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