Jackson, Mary

Jackson, Mary is an individual health care provider with primary practice located at 404 W Aero Dr , Payson AZ 85541-5407. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Mary can be contacted via phone (928) 474-3303.

Contact Information

Primary practice address
404 W Aero Dr Payson AZ 85541-5407
Phone: (928) 474-3303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-22257 Arizona

Profile Details

NPI number 1881374684
LBN Legal business name Jackson, Mary
Credentials LPC-22257
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Jul 18th, 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.

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