Jackson, Kiyana
Jackson, Kiyana is an sole proprietor health care provider with primary practice located at 1175 Lily Cache Ln , Bolingbrook IL 60490-3122. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Kiyana can be contacted via phone (815) 290-9048.Contact Information
Primary practice address
1175 Lily Cache Ln
Bolingbrook IL 60490-3122
Phone: (815) 290-9048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.009857 | Illinois |
Profile Details
| NPI number | 1528414976 |
|---|---|
| LBN Legal business name | Jackson, Kiyana |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2016 |
| Last updated | May 4th, 2016 - about 10 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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