person
Jackson Roach
Mental Health Counselor in San Jose, California
NPI 1992368104

Jackson Roach is a Mental Health Counselor based in Napa, CA and is specialized in Mental Health. Jackson Roach practices in San Jose, CA. The NPI Number for Jackson Roach is 1992368104 and holds a License No. (California).

The current practice location address for Jackson Roach is 452 S 1St St, San Jose, CA and can be reached out via phone at 408-841-4319 and via fax at 408-286-3855.

Location: 452 S 1St St, San Jose, CA, 94559-0127
person
Provider Profile Details
NPI Number
1992368104
Provider Name
Jackson Roach
Credential
Provider Entity Type
Individual
Gender
Male
Address
452 S 1St St, San Jose, CA, 94559-0127
Phone Number
408-841-4319
Fax Number
408-286-3855
Provider Enumeration Date
04/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
452 S 1St St
City
State
Zip
95113-2815
Phone Number
408-841-4319
Fax Number
408-286-3855
person
Provider Business Mailing Address Details
Address
452 S 1St St
City
State
Zip
95113-2815
Phone Number
408-841-4319
Fax Number
408-286-3855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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