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James Jeffrey Jackson
Student in an Organized Health Care Education/Training Program in San Francisco, California
NPI 1851427074

James Jeffrey Jackson is a Student in an Organized Health Care Education/Training Program based in San Francisco, CA. James Jeffrey Jackson practices in San Francisco, CA. The NPI Number for James Jeffrey Jackson is 1851427074 and holds a License No. J 250 367 390 278 (California).

The current practice location address for James Jeffrey Jackson is 887 Potrero Ave, San Francisco, CA and can be reached out via phone at 415-206-3311.

Location: 887 Potrero Ave, San Francisco, CA, 94117-2319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851427074
Provider Name
James Jeffrey Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
887 Potrero Ave, San Francisco, CA, 94117-2319
Phone Number
415-206-3311
Fax Number
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
887 Potrero Ave
City
San Francisco
State
California
Zip
94110-2869
Phone Number
415-206-3311
Fax Number
person
Provider Business Mailing Address Details
Address
887 Potrero Ave
City
San Francisco
State
California
Zip
94110-2869
Phone Number
415-206-3311
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
J 250 367 390 278 (Michigan)
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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
J 250 367 390 278 (Michigan)
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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