Keaysia Jackson
Keaysia Jackson is a Student in an Organized Health Care Education/Training Program in Orange, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1201 W La Veta AveOrange, CA 92868-4203
Phone: (714) 509-8481
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Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 94028476 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1063242766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2024 |
| Last updated in NPPES | August 23, 2024 |
| Certification date | August 23, 2024 |
| Mailing address | 1201 W La Veta Ave, Orange, CA 92868-4203 |
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