Travis J Jackson
Travis J Jackson is a Mental Health Counselor in San Francisco, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1550 Treat AveSan Francisco, CA 94110-5234
Phone: (415) 641-8000
Fax: (415) 641-8002
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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 | 1093063257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 20, 2012 |
| Last updated in NPPES | August 20, 2012 |
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