Jackson, Richard Allen
Jackson, Richard Allen is an sole proprietor health care provider with primary practice located at 201 W Laurel St , Brainerd MN 56401-3902. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jackson, Richard Allen can be contacted via phone (218) 454-3844.Contact Information
Primary practice address
201 W Laurel St
Brainerd MN 56401-3902
Phone: (218) 454-3844
Fax: (218) 454-3844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 23282 | Minnesota |
Profile Details
| NPI number | 1629520770 |
|---|---|
| LBN Legal business name | Jackson, Richard Allen |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2016 |
| Last updated | Apr 12th, 2018 - about 8 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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