Jackson, Lisa

Jackson, Lisa is an individual health care provider with primary practice located at 1827 Atlanta Ave Ste D3 , Riverside CA 92507-7418. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jackson, Lisa can be contacted via phone (951) 955-8000.

Contact Information

Primary practice address
1827 Atlanta Ave Ste D3 Riverside CA 92507-7418
Phone: (951) 955-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1619194628
LBN Legal business name Jackson, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 19 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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