Jackson, Therese Marie
Jackson, Therese Marie is an sole proprietor health care provider with primary practice located at 10914 Pembrook Ct , Frankfort IL 60423-8536. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jackson, Therese Marie can be contacted via phone (708) 772-6969.Contact Information
Primary practice address
10914 Pembrook Ct
Frankfort IL 60423-8536
Phone: (708) 772-6969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-5089 | Illinois |
Profile Details
| NPI number | 1902531536 |
|---|---|
| LBN Legal business name | Jackson, Therese Marie |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2022 |
| Last updated | Jul 18th, 2022 - about 4 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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