Jackson, Carmella

Jackson, Carmella is an sole proprietor health care provider with primary practice located at 261 Old York Rd Ste 709 , Jenkintown PA 19046-3728. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Carmella can be contacted via phone (215) 690-1004.

Contact Information

Primary practice address
261 Old York Rd Ste 709 Jenkintown PA 19046-3728
Phone: (215) 690-1004
Fax: (267) 907-1120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC007622 Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8062 Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1902288764
LBN Legal business name Jackson, Carmella
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2015
Last updated Nov 14th, 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.

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