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Jackson Red
Mental Health Counselor in Chula Vista, California
NPI 1013466820

Jackson Red is a Mental Health Counselor based in Chula Vista, CA and is specialized in Mental Health. Jackson Red practices in Chula Vista, CA. The NPI Number for Jackson Red is 1013466820 and holds a License No. (California).

The current practice location address for Jackson Red is 1196 Third Ave, Chula Vista, CA and can be reached out via phone at 619-427-4661.

Location: 1196 Third Ave, Chula Vista, CA, 91911-3131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013466820
Provider Name
Jackson Red
Credential
Provider Entity Type
Individual
Gender
Male
Address
1196 Third Ave, Chula Vista, CA, 91911-3131
Phone Number
619-427-4661
Fax Number
Provider Enumeration Date
09/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1196 Third Ave
City
Chula Vista
State
California
Zip
91911-3131
Phone Number
619-427-4661
Fax Number
person
Provider Business Mailing Address Details
Address
1196 Third Ave
City
Chula Vista
State
California
Zip
91911-3131
Phone Number
619-427-4661
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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