Jackson, Michele
Jackson, Michele is an sole proprietor health care provider with primary practice located at 2306 Verona Ct , Harker Heights TX 76548-8855. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Jackson, Michele can be contacted via phone (912) 572-7273.Contact Information
Primary practice address
2306 Verona Ct
Harker Heights TX 76548-8855
Phone: (912) 572-7273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P013052 | North Carolina |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 64908 | Texas |
Profile Details
| NPI number | 1669031753 |
|---|---|
| LBN Legal business name | Jackson, Michele |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2019 |
| Last updated | Jun 11th, 2019 - about 6 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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