Richard Jackson
Richard Jackson is a Mental Health Counselor in San Carlos, California. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
957 Industrial Rd Ste BSan Carlos, CA 94070-4151
Phone: (415) 375-1628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1346476637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 1, 2009 |
| Last updated in NPPES | June 1, 2009 |
| Mailing address | 841 San Bruno Ave W, San Bruno, CA 94066-3443 |
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