Jackson, Tina
Jackson, Tina is an sole proprietor health care provider with primary practice located at 150 Shelter Cove Way , Carrollton VA 23314-4167. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Tina can be contacted via phone (757) 944-4010.Contact Information
Primary practice address
150 Shelter Cove Way
Carrollton VA 23314-4167
Phone: (757) 944-4010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0732006392 | Virginia |
Profile Details
| NPI number | 1326753518 |
|---|---|
| LBN Legal business name | Jackson, Tina |
| Credentials | BS, MAED, L-QMHP A/C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2023 |
| Last updated | Jan 23rd, 2023 - about 3 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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