Maguire Jackson, Colleen

Maguire Jackson, Colleen is an sole proprietor health care provider with primary practice located at 703 3Rd St , West Lafayette IN 47907-2081. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Maguire Jackson, Colleen can be contacted via phone (765) 494-6995.

Contact Information

Primary practice address
703 3Rd St West Lafayette IN 47907-2081
Phone: (765) 494-6995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20042613A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20042613A Indiana

Profile Details

NPI number 1417384504
LBN Legal business name Maguire Jackson, Colleen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2013
Last updated Apr 28th, 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.

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