Mable Lee Jackson
Mable Lee Jackson is a Counselor in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2551 San Pablo AveOakland, CA 94612-1159
Phone: (510) 446-7142
Fax: (510) 446-7192
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1962685602 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2007 |
| Last updated in NPPES | December 17, 2007 |
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