Leontyne Jackson
Leontyne Jackson is a Mental Health Counselor in Richmond, California. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
84 BroadwayRichmond, CA 94804-1910
Phone: (510) 231-7812
Fax: (510) 231-7810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1942476866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 30, 2008 |
| Mailing address | 84 Broadway, Richmond, CA 94804-1910 |
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