Mr. Kenneth Edward Jackson
Mr. Kenneth Edward Jackson is a Mental Health Counselor in Oakland, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
4368 Lincoln AveOakland, CA 94602-2529
Phone: (510) 531-3111
Fax: (510) 530-8083
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1023372026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 25, 2012 |
| Last updated in NPPES | June 25, 2012 |
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