Doreen J. Jackson in Brockton - Mental Health
Doreen J. Jackson - NPI 1235229063
Doreen J. Jackson is a Mental Health in Brockton, Massachusetts. Doreen J. Jackson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Doreen J. Jackson is 1235229063. The last update date is 2007-07-08.
Doreen J. Jackson's current location address is 40 Almon Ave, Brockton, Massachusetts. You can contact this provider via phone number 5085808794 and fax number 5085801668. The mailing address for Doreen J. Jackson is 40 Almon Ave, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doreen J. Jackson |
|---|---|
| Address | 40 Almon Ave, Brockton, Massachusetts |
| Phone Number | 5085808794 |
| Fax Number | 5085801668 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1235229063 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40 Almon Ave |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23014515 |
| Phone Number | 5085808794 |
| Fax Number | 5085801668 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 3183 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21189788924 01 | MA | BEECH ST. | |
| LM0383 | MA | BLUE CROSS BLUE SHIELD MA | |
| 343393 | MA | MAGELLAN | |
| 1898035 | MA | MBHP | |
| 87149 | MA | UNITED BEHAVIORAL HEALTH | |
| 1029820 | MA | NEIGHBORHOOD HEALTH PLAN | |
| 1898035 | MA | -- | |
| 87149 | MA | UNITED HEALTHCARE | |
| 411270 | MA | HARVARD PILGRIM | |
| 1898035 | MA | MASS BEHAVIORAL HEALTH PL |
Post Comment/ Review Below
What is the Doreen J. Jackson's 1235229063?
The Doreen J. Jackson's NPI (National Provider Identifier) Number is 1235229063. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Doreen J. Jackson's physical address?
The Doreen J. Jackson is physically located at 40 Almon Ave, in the city of Brockton, MA, with the postal code 23014515.
What is the Doreen J. Jackson's area of specialization and corresponding taxonomy classification?
The Doreen J. Jackson's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did Doreen J. Jackson receive its 1235229063 assignment from the Centers for Medicare & Medicaid Services?
The Doreen J. Jackson was assigned its 1235229063 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Doreen J. Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Doreen J. Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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