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Mr. Andrew Lee Jackson JR.
Mental Health Counselor in Riverside, California
NPI 1043498819

Andrew Lee Jackson JR. is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Andrew Lee Jackson JR. practices in Riverside, CA. The NPI Number for Andrew Lee Jackson JR. is 1043498819 and holds a License No. (California).

The current practice location address for Andrew Lee Jackson JR. is 6355 Riverside Ave, Riverside, CA and can be reached out via phone at 951-369-5714.

Location: 6355 Riverside Ave, Riverside, CA, 92506-3163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043498819
Provider Name
Andrew Lee Jackson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6355 Riverside Ave, Riverside, CA, 92506-3163
Phone Number
951-369-5714
Fax Number
Provider Enumeration Date
02/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6355 Riverside Ave
City
Riverside
State
California
Zip
92506-3163
Phone Number
951-369-5714
Fax Number
person
Provider Business Mailing Address Details
Address
6355 Riverside Ave
City
Riverside
State
California
Zip
92506-3163
Phone Number
951-369-5714
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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