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Mr. Wayne Harrison Jackson
Mental Health Counselor in Camarillo, California
NPI 1013245828

Wayne Harrison Jackson is a Mental Health Counselor based in Santa Maria, CA and is specialized in Mental Health. Wayne Harrison Jackson practices in Camarillo, CA. The NPI Number for Wayne Harrison Jackson is 1013245828 and holds a License No. (California).

The current practice location address for Wayne Harrison Jackson is 1722 S Lewis Rd, Camarillo, CA and can be reached out via phone at 805-928-8622.

Location: 1722 S Lewis Rd, Camarillo, CA, 93458-7768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013245828
Provider Name
Wayne Harrison Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1722 S Lewis Rd, Camarillo, CA, 93458-7768
Phone Number
805-928-8622
Fax Number
Provider Enumeration Date
12/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1722 S Lewis Rd
City
Camarillo
State
California
Zip
93012-8520
Phone Number
805-928-8622
Fax Number
person
Provider Business Mailing Address Details
Address
1722 S Lewis Rd
City
Camarillo
State
California
Zip
93012-8520
Phone Number
805-928-8622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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