Jackson, Jennifer Marie

Jackson, Jennifer Marie is an sole proprietor health care provider with primary practice located at 532 W Pittsburgh St , Greensburg PA 15601-2239. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Jennifer Marie can be contacted via phone (724) 832-4450.

Contact Information

Primary practice address
532 W Pittsburgh St Greensburg PA 15601-2239
Phone: (724) 832-4450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW020666 Pennsylvania
Behavioral Health & Social Service Providers / Counselor 101Y00000X SW130909 Pennsylvania

Profile Details

NPI number 1134783632
LBN Legal business name Jackson, Jennifer Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2019
Last updated May 25th, 2021 - about 5 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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