Jackson, Carmellia Kay

Jackson, Carmellia Kay is an sole proprietor health care provider with primary practice located at 330 Race St , Somerset KY 42501-2156. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Jackson, Carmellia Kay can be contacted via phone (502) 509-9772.

Contact Information

Primary practice address
330 Race St Somerset KY 42501-2156
Phone: (502) 509-9772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 276506 Kentucky

Profile Details

NPI number 1073383402
LBN Legal business name Jackson, Carmellia Kay
Credentials CSW, MFT-ASSOCIATE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2024
Last updated Jan 5th, 2024 - about 2 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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