Mrs. Shannon Marie Jackson
Mrs. Shannon Marie Jackson is a Counselor in LA Mesa, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
4990 Williams AveLA Mesa, CA 91942-7409
Phone: (619) 668-4265
Fax: (619) 668-4264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence LPCC658 (CA) |
|---|
Record details
| NPI number | 1558742395 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 17, 2015 |
| Last updated in NPPES | June 17, 2015 |
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