Individual provider · Type 1 NPI

Andrew Lee Jackson Jr.

Mental Health Counselor · Riverside, CA

NPI number 1043498819 Active

Practice location

6355 Riverside Ave
Riverside, CA 92506-3163

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043498819

Andrew Lee Jackson Jr.'s National Provider Identifier is 1043498819, issued on Feb 4, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Feb 4, 2008.