Ted Jackson
Ted Jackson is a Mental Health Counselor in Corona, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
2275 S Main St Ste 201Corona, CA 92882-5303
Phone: (951) 279-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 102685 (CA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1487047072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2015 |
| Last updated in NPPES | October 27, 2017 |
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