Jackson, Gail E

Jackson, Gail E is an individual health care provider with primary practice located at 625 Truman St Ne , Albuquerque NM 87110-6443. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Gail E can be contacted via phone (505) 272-6916.

Contact Information

Primary practice address
625 Truman St Ne Albuquerque NM 87110-6443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I-0090 New Mexico

Profile Details

NPI number 1104817303
LBN Legal business name Jackson, Gail E
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 13th, 2026 - about 3 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104817303 NPPES
New Mexico MEDICAID 80529275

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