Individual provider · Type 1 NPI

Faye Marie Jackson

Mental Health Counselor · San Diego, CA

NPI number 1013172436 Active

Practice location

6160 Mission Gorge Rd
San Diego, CA 92120-3410

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1013172436

Faye Marie Jackson's National Provider Identifier is 1013172436, issued on Jul 24, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 24, 2008.