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Angelique Allyssa Jackson
Peer Specialist in Oceanside, California
NPI 1104577147

Angelique Allyssa Jackson is a Peer Specialist based in Oceanside, CA. Angelique Allyssa Jackson practices in Oceanside, CA. The NPI Number for Angelique Allyssa Jackson is 1104577147 and holds a License No. (California).

The current practice location address for Angelique Allyssa Jackson is 2122 S El Camino Real Ste 201, Oceanside, CA and can be reached out via phone at 760-290-8170 and via fax at 760-439-0019. You can also correspond with Angelique Allyssa Jackson through the mailing address at 2122 S EL CAMINO REAL STE 201, OCEANSIDE, CA - 92054-6210 (mailing address contact number: 760-290-8170).

Location: 2122 S El Camino Real Ste 201, Oceanside, CA, 92054-6210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104577147
Provider Name
Angelique Allyssa Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2122 S El Camino Real Ste 201, Oceanside, CA, 92054-6210
Phone Number
760-290-8170
Fax Number
760-439-0019
Provider Enumeration Date
01/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2122 S El Camino Real Ste 201
City
Oceanside
State
California
Zip
92054-6210
Phone Number
760-290-8170
Fax Number
760-439-0019
person
Provider Business Mailing Address Details
Address
2122 S El Camino Real Ste 201
City
Oceanside
State
California
Zip
92054-6210
Phone Number
760-290-8170
Fax Number
760-439-0019
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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