Jackson, Shantius
Jackson, Shantius is an sole proprietor health care provider with primary practice located at 2400 Queens Chapel Rd Apt 402 , Hyattsville MD 20782-3637. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Shantius can be contacted via phone (305) 345-5401.Contact Information
Primary practice address
2400 Queens Chapel Rd Apt 402
Hyattsville MD 20782-3637
Phone: (305) 345-5401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1780104455 |
|---|---|
| LBN Legal business name | Jackson, Shantius |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2017 |
| Last updated | Jun 23rd, 2017 - about 9 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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