Lisa Jackson
Lisa Jackson is a Counselor in Riverside, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1827 Atlanta Ave Ste D3Riverside, CA 92507-7418
Phone: (951) 955-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1619194628 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 |
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