Jackson, Elisha F

Jackson, Elisha F is an individual health care provider with primary practice located at 1824 Murdoch Ave Bldg C , Parkersburg WV 26101-3230. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Jackson, Elisha F can be contacted via phone (304) 916-1881.

Contact Information

Primary practice address
1824 Murdoch Ave Bldg C Parkersburg WV 26101-3230
Phone: (304) 916-1881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S.1701334 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X AP00944201 West Virginia

Profile Details

NPI number 1679073977
LBN Legal business name Jackson, Elisha F
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2018
Last updated Jan 10th, 2019 - about 7 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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