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Sasha Jackson, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Stockton, California
NPI 1083220453

Sasha Jackson, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Patterson, CA and is specialized in Mental Health (Including Community Mental Health Center). Sasha Jackson, Llc practices in Stockton, CA. The NPI Number for Sasha Jackson, Llc is 1083220453 and holds a License No. (California).

The current practice location address for Sasha Jackson, Llc is 1212 N California St, Stockton, CA and can be reached out via phone at 209-242-0601.

Location: 1212 N California St, Stockton, CA, 95363-1574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083220453
Provider Name
Sasha Jackson, Llc
Credential
Provider Entity Type
Organization
Address
1212 N California St, Stockton, CA, 95363-1574
Phone Number
209-242-0601
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-242-0601
Fax Number
person
Provider Business Mailing Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-242-0601
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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