Jackson, Rickey T.

Jackson, Rickey T. is an sole proprietor health care provider with primary practice located at 20600 Eureka Rd Suite 819, Taylor MI 48180-5343. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Jackson, Rickey T. can be contacted via phone (734) 285-8282.

Contact Information

Primary practice address
20600 Eureka Rd Suite 819 Taylor MI 48180-5343
Phone: (734) 285-8282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301008412 Michigan

Profile Details

NPI number 1962428748
LBN Legal business name Jackson, Rickey T.
Credentials PSY. S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 19 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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