Jackson, Jada Cm

Jackson, Jada Cm is an sole proprietor health care provider with primary practice located at 711 Nichols Dr , Lancaster TX 75146-7235. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Jada Cm can be contacted via phone (407) 921-0836.

Contact Information

Primary practice address
711 Nichols Dr Lancaster TX 75146-7235
Phone: (407) 921-0836
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12331 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 75885 Texas

Profile Details

NPI number 1184158149
LBN Legal business name Jackson, Jada Cm
Credentials ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2017
Last updated Apr 17th, 2017 - about 9 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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