Jackson, Dana Marie
Jackson, Dana Marie is an individual health care provider with primary practice located at 186 E 1800 N Ste 1 , North Logan UT 84341-2245. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Dana Marie can be contacted via phone (435) 213-3026.Contact Information
Primary practice address
186 E 1800 N Ste 1
North Logan UT 84341-2245
Phone: (435) 213-3026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 82708063501 | Utah |
Profile Details
| NPI number | 1033740188 |
|---|---|
| LBN Legal business name | Jackson, Dana Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2020 |
| Last updated | Jan 28th, 2020 - about 6 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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