Jackson Allen Stephen
Jackson Allen Stephen is a Health & Wellness Coach in Anaheim, California. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2135 S Mountain View AveAnaheim, CA 92802-4917
Phone: (714) 517-8926
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Specialties & licences
| Health & Wellness Coach (primary) | Taxonomy 171400000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1972333102 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 2, 2024 |
| Last updated in NPPES | August 4, 2026 |
| Certification date | August 4, 2026 |
| Mailing address | 1100 W Town And Country Rd Ste 1250, Orange, CA 92868-4633 |
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