Angelique Allyssa Jackson
Angelique Allyssa Jackson is a Peer Specialist in Oceanside, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2122 S El Camino Real Ste 201Oceanside, CA 92054-6210
Phone: (760) 290-8170
Fax: (760) 439-0019
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1104577147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 11, 2022 |
| Last updated in NPPES | January 11, 2022 |
| Certification date | January 11, 2022 |
| Mailing address | 2122 S El Camino Real Ste 201, Oceanside, CA 92054-6210 |
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