Jackson, Jackie

Jackson, Jackie is an individual health care provider with primary practice located at 604 W Ocean Ave , Lompoc CA 93436-6630. 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, Jackie can be contacted via phone (805) 346-8185.

Contact Information

Primary practice address
604 W Ocean Ave Lompoc CA 93436-6630
Phone: (805) 346-8185
Fax: (805) 346-8656
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1356476501
LBN Legal business name Jackson, Jackie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 12th, 2009 - 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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