Jackson, Ellen Marie

Jackson, Ellen Marie is an sole proprietor health care provider with primary practice located at 3 Fundy Rd , Falmouth ME 04105-1796. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Ellen Marie can be contacted via phone (207) 780-9966.

Contact Information

Primary practice address
3 Fundy Rd Falmouth ME 04105-1796
Phone: (207) 780-9966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC1392 Maine

Profile Details

NPI number 1568519718
LBN Legal business name Jackson, Ellen Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jun 14th, 2010 - about 16 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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