Jackson, Brandi

Jackson, Brandi is an individual health care provider with primary practice located at 17642 Loganberry Rd , Carson CA 90746-7465. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jackson, Brandi can be contacted via phone (424) 205-4729.

Contact Information

Primary practice address
17642 Loganberry Rd Carson CA 90746-7465
Phone: (424) 205-4729
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1316518988
LBN Legal business name Jackson, Brandi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2021
Last updated Jul 6th, 2021 - about 5 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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