Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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T Theresa Jackson, MT-BC

Individual provider Music Therapist · NPI 1104258615

T Theresa Jackson, MT-BC is a Music Therapist in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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Practice location Address checks out

1412 Oak Grove Dr
Roseville, CA 95747-7352
Phone: (916) 782-3467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Music Therapist (primary) Taxonomy 225A00000X · Licence 08720 (CA)

Record details

NPI number1104258615
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT-BC
Sole proprietorYes
NPI enumeratedAugust 7, 2013
Last updated in NPPESAugust 7, 2013