Jackson, Toni Louise

Jackson, Toni Louise is an sole proprietor health care provider with primary practice located at 1796 Bay Rd , East Palo Alto CA 94303-1611. 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, Toni Louise can be contacted via phone (650) 462-6999.

Contact Information

Primary practice address
1796 Bay Rd East Palo Alto CA 94303-1611
Fax: (650) 462-1055
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4912-R California

Profile Details

NPI number 1588053342
LBN Legal business name Jackson, Toni Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2015
Last updated Sep 21st, 2015 - about 11 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.

Request for update

Popular Providers