Joseph Jackson
Joseph Jackson is a Peer Specialist in Greenbrae, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
250 Bon Air RdGreenbrae, CA 94904-1702
Phone: (707) 327-7784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (CA) |
|---|
Record details
| NPI number | 1912386509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 28, 2015 |
| Last updated in NPPES | July 13, 2023 |
| Certification date | July 13, 2023 |
| Mailing address | 6044 Oak Leaf Pl, Rohnert Park, CA 94928-2991 |
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