Jackson, Tiffany
Jackson, Tiffany is an sole proprietor health care provider with primary practice located at 2474 Black Fox Trl , East Point GA 30344-6612. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Tiffany can be contacted via phone (510) 435-2172.Contact Information
Primary practice address
2474 Black Fox Trl
East Point GA 30344-6612
Phone: (510) 435-2172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Georgia | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1316532591 |
|---|---|
| LBN Legal business name | Jackson, Tiffany |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2021 |
| Last updated | Mar 9th, 2021 - about 5 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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