Jackson, Jordan

Jackson, Jordan is an sole proprietor health care provider with primary practice located at 2110 Iron St , Bellingham WA 98225-4123. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jackson, Jordan can be contacted via phone (360) 930-6063.

Contact Information

Primary practice address
2110 Iron St Bellingham WA 98225-4123
Phone: (360) 930-6063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X CG60676407 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC61303990 Washington

Profile Details

NPI number 1699127969
LBN Legal business name Jackson, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2016
Last updated Jun 29th, 2023 - about 3 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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