Jackson, Leontyne

Jackson, Leontyne is an individual health care provider with primary practice located at 84 Broadway , Richmond CA 94804-1910. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Leontyne can be contacted via phone (510) 231-7812.

Contact Information

Primary practice address
84 Broadway Richmond CA 94804-1910
Phone: (510) 231-7812
Fax: (510) 231-7810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1942476866
LBN Legal business name Jackson, Leontyne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - about 18 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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