Jackson, Josephina
Jackson, Josephina is an sole proprietor health care provider with primary practice located at 1611 Central Ave Nw , Albuquerque NM 87104-1139. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Josephina can be contacted via phone (505) 247-4622.Contact Information
Primary practice address
1611 Central Ave Nw
Albuquerque NM 87104-1139
Phone: (505) 247-4622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0106471 | New Mexico |
Profile Details
| NPI number | 1811231822 |
|---|---|
| LBN Legal business name | Jackson, Josephina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Nov 15th, 2012 - about 14 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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