Jackson, Natacha

Jackson, Natacha is an individual health care provider with primary practice located at 180 Fairfield Ave , Bridgeport CT 06604-4252. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Natacha can be contacted via phone (203) 394-6529.

Contact Information

Primary practice address
180 Fairfield Ave Bridgeport CT 06604-4252
Phone: (203) 394-6529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001179 Connecticut

Profile Details

NPI number 1285098798
LBN Legal business name Jackson, Natacha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated Apr 11th, 2016 - about 10 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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