Jackson, Melissa
Jackson, Melissa is an individual health care provider with primary practice located at 29 W Fulton St Ste D , Gloversville NY 12078-2937. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Jackson, Melissa can be contacted via phone (518) 313-6105.Contact Information
Primary practice address
29 W Fulton St Ste D
Gloversville NY 12078-2937
Phone: (518) 313-6105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 018244 | New York |
Profile Details
| NPI number | 1912106733 |
|---|---|
| LBN Legal business name | Jackson, Melissa |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Apr 22nd, 2024 - about 2 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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