Jackson, Ruby J

Jackson, Ruby J is an sole proprietor health care provider with primary practice located at 302 Azalea Ct , Brandon MS 39047-7952. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Ruby J can be contacted via phone (601) 201-4134.

Contact Information

Primary practice address
302 Azalea Ct Brandon MS 39047-7952
Phone: (601) 201-4134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1306 Mississippi

Profile Details

NPI number 1487162608
LBN Legal business name Jackson, Ruby J
Credentials DPC, LPC-S, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2018
Last updated Jan 22nd, 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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