person
Mr. Kenneth Edward Jackson
Mental Health Counselor in Oakland, California
NPI 1023372026

Kenneth Edward Jackson is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Kenneth Edward Jackson practices in Oakland, CA. The NPI Number for Kenneth Edward Jackson is 1023372026 and holds a License No. (California).

The current practice location address for Kenneth Edward Jackson is 4368 Lincoln Ave, Oakland, CA and can be reached out via phone at 510-531-3111 and via fax at 510-530-8083.

Location: 4368 Lincoln Ave, Oakland, CA, 94602-2529
person
Provider Profile Details
NPI Number
1023372026
Provider Name
Kenneth Edward Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4368 Lincoln Ave, Oakland, CA, 94602-2529
Phone Number
510-531-3111
Fax Number
510-530-8083
Provider Enumeration Date
06/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4368 Lincoln Ave
City
State
Zip
94602-2529
Phone Number
510-531-3111
Fax Number
510-530-8083
person
Provider Business Mailing Address Details
Address
4368 Lincoln Ave
City
State
Zip
94602-2529
Phone Number
510-531-3111
Fax Number
510-530-8083
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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