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Sophia Jackson, AMFT
Mental Health Counselor in Long Beach, California
NPI 1073233037

Sophia Jackson is a Mental Health Counselor based in Long Beach, CA and is specialized in Mental Health. Sophia Jackson practices in Long Beach, CA and has the professional credentials of AMFT. The NPI Number for Sophia Jackson is 1073233037 and holds a License No. 129136 (California).

The current practice location address for Sophia Jackson is 3950 Long Beach Blvd Ste 101, Long Beach, CA and can be reached out via phone at 562-684-1300.

Location: 3950 Long Beach Blvd Ste 101, Long Beach, CA, 90807-5410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073233037
Provider Name
Sophia Jackson
Credential
AMFT
Provider Entity Type
Individual
Gender
Female
Address
3950 Long Beach Blvd Ste 101, Long Beach, CA, 90807-5410
Phone Number
562-684-1300
Fax Number
Provider Enumeration Date
08/30/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
129136 01 OTHER INSURANCES
institution
Provider Business Practice Location Address Details
Address
3950 Long Beach Blvd Ste 101
City
Long Beach
State
California
Zip
90807-5410
Phone Number
562-684-1300
Fax Number
person
Provider Business Mailing Address Details
Address
3950 Long Beach Blvd Ste 101
City
Long Beach
State
California
Zip
90807-5410
Phone Number
562-684-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
129136 (California)
Definition
Definition to come...
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