Onyango, Jacton

Onyango, Jacton is an individual health care provider with primary practice located at 107 S 5Th St , Richmond VA 23219-3825. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Onyango, Jacton can be contacted via phone (804) 819-4000.

Contact Information

Primary practice address
107 S 5Th St Richmond VA 23219-3825
Phone: (804) 819-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710000525 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701004654 Virginia

Profile Details

NPI number 1790017663
LBN Legal business name Onyango, Jacton
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2010
Last updated Feb 3rd, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790017663 NPPES
Virginia MEDICAID 4945255

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