Jackson, Amanda Leigh

Jackson, Amanda Leigh is an individual health care provider with primary practice located at 17800 Us Highway 18 , Apple Valley CA 92307-1221. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Amanda Leigh can be contacted via phone (760) 946-8200.

Contact Information

Primary practice address
17800 Us Highway 18 Apple Valley CA 92307-1221
Phone: (760) 946-8200
Fax: (760) 242-1425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 11586 California

Profile Details

NPI number 1356725840
LBN Legal business name Jackson, Amanda Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2015
Last updated Apr 10th, 2023 - about 3 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