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Adrian Jackson
Mental Health Counselor in San Mateo, California
NPI 1992570493

Adrian Jackson is a Mental Health Counselor based in San Mateo, CA and is specialized in Mental Health. Adrian Jackson practices in San Mateo, CA. The NPI Number for Adrian Jackson is 1992570493 and holds a License No. (California).

The current practice location address for Adrian Jackson is 3701 Hacienda St, San Mateo, CA and can be reached out via phone at 650-539-0340.

Location: 3701 Hacienda St, San Mateo, CA, 94403-4366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992570493
Provider Name
Adrian Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3701 Hacienda St, San Mateo, CA, 94403-4366
Phone Number
650-539-0340
Fax Number
Provider Enumeration Date
11/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3701 Hacienda St
City
San Mateo
State
California
Zip
94403-4366
Phone Number
650-539-0340
Fax Number
person
Provider Business Mailing Address Details
Address
3701 Hacienda St
City
San Mateo
State
California
Zip
94403-4366
Phone Number
650-539-0340
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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