Godwin, Chase Jackson

Godwin, Chase Jackson is an sole proprietor health care provider with primary practice located at 3903 Trotters Ridge Cir , Valdosta GA 31605-4894. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Godwin, Chase Jackson can be contacted via phone (912) 288-4880.

Contact Information

Primary practice address
3903 Trotters Ridge Cir Valdosta GA 31605-4894
Phone: (912) 288-4880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007195 Georgia

Profile Details

NPI number 1184045767
LBN Legal business name Godwin, Chase Jackson
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2013
Last updated Dec 26th, 2013 - about 13 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