Jackson, Melissa Jeree

Jackson, Melissa Jeree is an individual health care provider with primary practice located at 13510 W Young St , Surprise AZ 85374-5417. 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, Melissa Jeree can be contacted via phone (262) 749-0908.

Contact Information

Primary practice address
13510 W Young St Surprise AZ 85374-5417
Phone: (262) 749-0908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-15490 Arizona

Profile Details

NPI number 1447371620
LBN Legal business name Jackson, Melissa Jeree
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated May 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447371620 NPPES
Wisconsin MEDICAID 43599300

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