Jackson, Skylette V
Jackson, Skylette V is an individual health care provider with primary practice located at 28879 Hudson Corner Rd , Marion MD 21838-2105. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Skylette V can be contacted via phone (443) 614-0829.Contact Information
Primary practice address
28879 Hudson Corner Rd
Marion MD 21838-2105
Phone: (443) 614-0829
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1639667611 |
|---|---|
| LBN Legal business name | Jackson, Skylette V |
| Credentials | MS, CAADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2018 |
| Last updated | Apr 25th, 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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