Jackson, Kezia

Jackson, Kezia is an individual health care provider with primary practice located at 7711 Bonhomme Ave Ste 720 , Clayton MO 63105-1908. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Kezia can be contacted via phone (314) 968-2350.

Contact Information

Primary practice address
7711 Bonhomme Ave Ste 720 Clayton MO 63105-1908
Phone: (314) 968-2350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2016035936 Missouri
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1790233153
LBN Legal business name Jackson, Kezia
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2016
Last updated Oct 16th, 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.

Request for update

Popular Providers