Jackson, Loretta Patrice
Jackson, Loretta Patrice is an individual health care provider with primary practice located at 323 Honeygal Rd , Brunswick GA 31525-5530. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jackson, Loretta Patrice can be contacted via phone (191) 224-2279.Contact Information
Primary practice address
323 Honeygal Rd
Brunswick GA 31525-5530
Phone: (191) 224-2279
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CSW007274 | Georgia |
Profile Details
| NPI number | 1063171510 |
|---|---|
| LBN Legal business name | Jackson, Loretta Patrice |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2021 |
| Last updated | Dec 13th, 2021 - about 5 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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