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Richard Jackson
Mental Health Counselor in San Carlos, California
NPI 1346476637

Richard Jackson is a Mental Health Counselor based in San Bruno, CA and is specialized in Mental Health. Richard Jackson practices in San Carlos, CA. The NPI Number for Richard Jackson is 1346476637 and holds a License No. (California).

The current practice location address for Richard Jackson is 957 Industrial Rd, San Carlos, CA and can be reached out via phone at 415-375-1628.

Location: 957 Industrial Rd, San Carlos, CA, 94066-3443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346476637
Provider Name
Richard Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
957 Industrial Rd, San Carlos, CA, 94066-3443
Phone Number
415-375-1628
Fax Number
Provider Enumeration Date
06/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
957 Industrial Rd
City
San Carlos
State
California
Zip
94070-4151
Phone Number
415-375-1628
Fax Number
person
Provider Business Mailing Address Details
Address
957 Industrial Rd
City
San Carlos
State
California
Zip
94070-4151
Phone Number
415-375-1628
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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