Nickson, Jalesa Denise
Nickson, Jalesa Denise is an individual health care provider with primary practice located at 108 Scr 581B , Raleigh MS 39153-5438. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Nickson, Jalesa Denise can be contacted via phone (601) 577-2599.Contact Information
Primary practice address
108 Scr 581B
Raleigh MS 39153-5438
Phone: (601) 577-2599
Fax: (601) 952-4398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 216761 | Mississippi |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 216761 | Mississippi |
Profile Details
| NPI number | 1205574795 |
|---|---|
| LBN Legal business name | Nickson, Jalesa Denise |
| Credentials | ED.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2022 |
| Last updated | May 24th, 2022 - about 4 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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