Jackson, Jared A
Jackson, Jared A is an sole proprietor health care provider with primary practice located at 6102 Tennessee Ave , Fort Campbell KY 42223-5940. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jackson, Jared A can be contacted via phone (909) 810-7332.Contact Information
Primary practice address
6102 Tennessee Ave
Fort Campbell KY 42223-5940
Phone: (909) 810-7332
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1690 | Alabama |
Profile Details
| NPI number | 1902184732 |
|---|---|
| LBN Legal business name | Jackson, Jared A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2011 |
| Last updated | May 8th, 2025 - about last year |
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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