Jackson, Viloria C

Jackson, Viloria C is an sole proprietor health care provider with primary practice located at 3611 Gray Pl , Duluth GA 30096-3298. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Viloria C can be contacted via phone (404) 477-7726.

Contact Information

Primary practice address
3611 Gray Pl Duluth GA 30096-3298
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005305 Georgia

Profile Details

NPI number 1205348372
LBN Legal business name Jackson, Viloria C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2017
Last updated Oct 30th, 2017 - about 9 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