Lisa Jackson is a Counselor based in Riverside, CA. Lisa Jackson practices in Riverside, CA. The NPI Number for Lisa Jackson is 1619194628 and holds a License No. (California).
The current practice location address for Lisa Jackson is 1827 Atlanta Ave Ste D3, Riverside, CA and can be reached out via phone at 951-955-8000.
Location: 1827 Atlanta Ave Ste D3, Riverside, CA, 92507-7418
Provider Profile Details
NPI Number
1619194628
Provider Name
Lisa Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1827 Atlanta Ave Ste D3, Riverside, CA, 92507-7418
Phone Number
951-955-8000
Fax Number
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1827 Atlanta Ave Ste D3
City
State
Zip
92507-7418
Phone Number
951-955-8000
Fax Number
Provider Business Mailing Address Details
Address
1827 Atlanta Ave Ste D3
City
State
Zip
92507-7418
Phone Number
951-955-8000
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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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