Jackson Young, Shawna
Jackson Young, Shawna is an individual health care provider with primary practice located at 24100 Chagrin Blvd Ste 330 , Beachwood OH 44122. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson Young, Shawna can be contacted via phone (216) 990-8773.Contact Information
Primary practice address
24100 Chagrin Blvd Ste 330
Beachwood OH 44122
Phone: (216) 990-8773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCIII.161563 | Ohio |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.1600353 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.1801043 | Ohio |
Profile Details
| NPI number | 1710336896 |
|---|---|
| LBN Legal business name | Jackson Young, Shawna |
| Credentials | LCDC III, LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2016 |
| Last updated | Jun 23rd, 2018 - about 8 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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