Keneisha Jackson
Keneisha Jackson is a Social Worker in San Jose, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
160 E Virginia St Ste 100San Jose, CA 95112-5865
Phone: (408) 918-2682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence ACSW120109 (CA) |
|---|
Record details
| NPI number | 1427680495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 7, 2020 |
| Last updated in NPPES | January 17, 2024 |
| Certification date | January 17, 2024 |
| Mailing address | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 |
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