Moses, Jackqueline Denise

Moses, Jackqueline Denise is an individual health care provider with primary practice located at 2100 Comer Ave , Columbus GA 31904-8725. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Moses, Jackqueline Denise can be contacted via phone (678) 836-9390.

Contact Information

Primary practice address
2100 Comer Ave Columbus GA 31904-8725
Phone: (678) 836-9390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1407558869
LBN Legal business name Moses, Jackqueline Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2023
Last updated Mar 20th, 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.

Request for update

Popular Providers