Joseph Jackson is a Peer Specialist based in Rohnert Park, CA. Joseph Jackson practices in Greenbrae, CA. The NPI Number for Joseph Jackson is 1912386509 and holds a License No. (California).
The current practice location address for Joseph Jackson is 250 Bon Air Rd, Greenbrae, CA and can be reached out via phone at 707-327-7784.
Location: 250 Bon Air Rd, Greenbrae, CA, 94928-2991
Provider Profile Details
NPI Number
1912386509
Provider Name
Joseph Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
250 Bon Air Rd, Greenbrae, CA, 94928-2991
Phone Number
707-327-7784
Fax Number
Provider Enumeration Date
05/28/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
250 Bon Air Rd
City
State
Zip
94904-1702
Phone Number
707-327-7784
Fax Number
Provider Business Mailing Address Details
Address
250 Bon Air Rd
City
State
Zip
94904-1702
Phone Number
707-327-7784
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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