Fields, Doreatha Jackson

Fields, Doreatha Jackson is an sole proprietor health care provider with primary practice located at 1409 Hoag Ave , Melbourne FL 32901-7311. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Fields, Doreatha Jackson can be contacted via phone (321) 821-7477.

Contact Information

Primary practice address
1409 Hoag Ave Melbourne FL 32901-7311
Phone: (321) 821-7477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1528565116
LBN Legal business name Fields, Doreatha Jackson
Credentials ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2018
Last updated Apr 10th, 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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