Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Red

Individual provider Mental Health Counselor · NPI 1013466820

Jackson Red is a Mental Health Counselor in Chula Vista, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1196 Third Ave
Chula Vista, CA 91911-3131
Phone: (619) 427-4661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 84466 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1013466820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESOctober 25, 2018

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