Roger M Jackson
Roger M Jackson is a Mental Health Counselor in Modesto, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
225 El Vista AveModesto, CA 95354-3007
Phone: (918) 400-9718
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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 | 1265015861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2021 |
| Last updated in NPPES | April 30, 2021 |
| Certification date | April 30, 2021 |
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