Lisa Ann Jackson
Lisa Ann Jackson is a Counselor in Fairfield, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
956 E Tabor AveFairfield, CA 94533-4104
Phone: (707) 555-1212
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1659980738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 24, 2020 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | July 24, 2020 |
| Mailing address | 956 E Tabor Ave, Fairfield, CA 94533-4104 |
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