Antoine Jackson
Antoine Jackson is a Mental Health Counselor in Orange, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
401 S Tustin StOrange, CA 92866-2550
Phone: (714) 289-3936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1447745088 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 26, 2018 |
| Last updated in NPPES | June 26, 2018 |
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401 S Tustin St Bldg D, Orange, CA 92866-2550 · (714) 289-3936