Phannong Jackson, MFTI
Phannong Jackson, MFTI is a Marriage & Family Therapist in Stockton, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 468-8700
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence IMF41435 (CA) |
|---|
Record details
| NPI number | 1447474382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MFTI |
| Sole proprietor | No |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
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