Paul Jackson is a Peer Specialist based in Riverside, CA. Paul Jackson practices in Riverside, CA. The NPI Number for Paul Jackson is 1215235866 and holds a License No. (California).
The current practice location address for Paul Jackson is 9890 County Farm Rd Ste 2, Riverside, CA and can be reached out via phone at 951-509-2499.
Location: 9890 County Farm Rd Ste 2, Riverside, CA, 92503-3565
Provider Profile Details
NPI Number
1215235866
Provider Name
Paul Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
9890 County Farm Rd Ste 2, Riverside, CA, 92503-3565
Phone Number
951-509-2499
Fax Number
Provider Enumeration Date
03/07/2011
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
9890 County Farm Rd Ste 2
City
State
Zip
92503
Phone Number
951-509-2499
Fax Number
Provider Business Mailing Address Details
Address
9890 County Farm Rd Ste 2
City
State
Zip
92503
Phone Number
951-509-2499
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(California)
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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