Jackson, Patrice Lynette

Jackson, Patrice Lynette is an sole proprietor health care provider with primary practice located at 340 Hospital Dr , Warrenton VA 20186-3006. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Patrice Lynette can be contacted via phone (540) 347-7620.

Contact Information

Primary practice address
340 Hospital Dr Warrenton VA 20186-3006
Phone: (540) 347-7620
Fax: (540) 675-3329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0701008703 Virginia
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701008703 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701008703 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701008703 Virginia

Profile Details

NPI number 1346888542
LBN Legal business name Jackson, Patrice Lynette
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2019
Last updated Dec 18th, 2019 - about 7 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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