Jackson, James

Jackson, James is an individual health care provider with primary practice located at 103 Commercial St , Brockton MA 02302-3101. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jackson, James can be contacted via phone (508) 521-1020.

Contact Information

Primary practice address
103 Commercial St Brockton MA 02302-3101
Phone: (508) 521-1020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1659741155
LBN Legal business name Jackson, James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Sep 28th, 2015 - about 11 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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