Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Michelle Denise Jackson, LPT

Individual provider Licensed Psychiatric Technician · NPI 1033460761

MS. Michelle Denise Jackson, LPT is a Licensed Psychiatric Technician in Banning, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1330 W Ramsey St Ste 100
Banning, CA 92220-4477
Phone: (951) 849-7142
Fax: (951) 849-1762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PT 30277 (CA)

Record details

NPI number1033460761
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPT
Sole proprietorNo
NPI enumeratedSeptember 20, 2012
Last updated in NPPESSeptember 20, 2012

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