Jackson, Gail M

Jackson, Gail M is an individual health care provider with primary practice located at Belmont Center, 4200 Monument Road , Philadelphia PA 19131. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Gail M can be contacted via phone (215) 581-5479.

Contact Information

Primary practice address
Belmont Center, 4200 Monument Road Philadelphia PA 19131
Phone: (215) 581-5479
Fax: (215) 581-3827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X PC001382 Pennsylvania

Profile Details

NPI number 1417037185
LBN Legal business name Jackson, Gail M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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