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Carletta Jackson-lane, JD
Counselor in San Francisco, California
NPI 1396056446

Carletta Jackson-lane is a Counselor based in San Francisco, CA. Carletta Jackson-lane practices in San Francisco, CA and has the professional credentials of JD. The NPI Number for Carletta Jackson-lane is 1396056446 and holds a License No. (California).

The current practice location address for Carletta Jackson-lane is 150 Executive Park Blvd, San Francisco, CA and can be reached out via phone at 415-330-6300 and via fax at 415-330-6306.

Location: 150 Executive Park Blvd, San Francisco, CA, 94134-3303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396056446
Provider Name
Carletta Jackson-lane
Credential
JD
Provider Entity Type
Individual
Gender
Female
Address
150 Executive Park Blvd, San Francisco, CA, 94134-3303
Phone Number
415-330-6300
Fax Number
415-330-6306
Provider Enumeration Date
06/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 Executive Park Blvd
City
San Francisco
State
California
Zip
94134-3303
Phone Number
415-330-6300
Fax Number
415-330-6306
person
Provider Business Mailing Address Details
Address
150 Executive Park Blvd
City
San Francisco
State
California
Zip
94134-3303
Phone Number
415-330-6300
Fax Number
415-330-6306
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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