Bridgette Jackson in Bristol - Marriage & Family Therapist
Bridgette Jackson - NPI 1093721706
Bridgette Jackson is a Marriage & Family Therapist in Bristol, Connecticut. Bridgette Jackson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Bridgette Jackson is 1093721706. The last update date is 2007-08-08.
Bridgette Jackson's current location address is Po Box 2828, Bristol, Connecticut. You can contact this provider via phone number 8605853906 and fax number 8605853907. The mailing address for Bridgette Jackson is Po Box 2828, Bristol, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bridgette Jackson |
|---|---|
| Address | Po Box 2828, Bristol, Connecticut |
| Phone Number | 8605853906 |
| Fax Number | 8605853907 |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1093721706 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | Po Box 2828 |
|---|---|
| City | Bristol |
| State | Connecticut (CT) |
| Post Code | 60112828 |
| Phone Number | 8605853906 |
| Fax Number | 8605853907 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 1126 |
|
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4262812 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bridgette Jackson by the Centers for Medicare & Medicaid Services?
The Bridgette Jackson has been assigned the NPI (National Provider Identifier) 1093721706. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bridgette Jackson is geographically located?
The Bridgette Jackson is physically situated at the following location: Po Box 2828, Bristol, CT, 60112828.
What is the Bridgette Jackson's area of specialization and corresponding taxonomy classification?
The Bridgette Jackson's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1093721706 assigned to Bridgette Jackson?
The Bridgette Jackson was issued its 1093721706 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Bridgette Jackson's information last updated?
The Bridgette Jackson's information was last updated on 2007-08-08.