Individual provider · Type 1 NPI

Jackson Red

Mental Health Counselor · Chula Vista, CA

NPI number 1013466820 Active

Practice location

1196 Third Ave
Chula Vista, CA 91911-3131

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X84466 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1013466820

Jackson Red's National Provider Identifier is 1013466820, issued on Sep 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chula Vista, CA. The record was last updated on Oct 25, 2018.