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Mrs. Patricia Jackson, MFTI
Mental Health Counselor in San Jose, California
NPI 1902206469

Patricia Jackson is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Patricia Jackson practices in San Jose, CA and has the professional credentials of MFTI. The NPI Number for Patricia Jackson is 1902206469 and holds a License No. (California).

The current practice location address for Patricia Jackson is 160 E Virginia St Ste 100, San Jose, CA and can be reached out via phone at 760-393-3317.

Location: 160 E Virginia St Ste 100, San Jose, CA, 95112-5865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902206469
Provider Name
Patricia Jackson
Credential
MFTI
Provider Entity Type
Individual
Gender
Female
Address
160 E Virginia St Ste 100, San Jose, CA, 95112-5865
Phone Number
760-393-3317
Fax Number
Provider Enumeration Date
09/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699841528 05 CA
institution
Provider Business Practice Location Address Details
Address
160 E Virginia St Ste 100
City
San Jose
State
California
Zip
95112-5865
Phone Number
760-393-3317
Fax Number
person
Provider Business Mailing Address Details
Address
160 E Virginia St Ste 100
City
San Jose
State
California
Zip
95112-5865
Phone Number
760-393-3317
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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