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Mrs. Tienna Stephanie Jackson
Counselor in San Diego, California
NPI 1194976225

Tienna Stephanie Jackson is a Counselor based in San Diego, CA. Tienna Stephanie Jackson practices in San Diego, CA. The NPI Number for Tienna Stephanie Jackson is 1194976225 and holds a License No. 89122 (California).

The current practice location address for Tienna Stephanie Jackson is 3132 Jefferson St, San Diego, CA and can be reached out via phone at 619-683-3100.

Location: 3132 Jefferson St, San Diego, CA, 92110-4421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194976225
Provider Name
Tienna Stephanie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3132 Jefferson St, San Diego, CA, 92110-4421
Phone Number
619-683-3100
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
3132 Jefferson St
City
San Diego
State
California
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
person
Provider Business Mailing Address Details
Address
3132 Jefferson St
City
San Diego
State
California
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
89122 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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