Individual provider · Type 1 NPI

Travis J. Jackson

Mental Health Counselor · San Francisco, CA

NPI number 1093063257 Active

Practice location

1550 Treat Ave
San Francisco, CA 94110-5234

Call (415) 641-8000 Map

Fax (415) 641-8002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093063257

Travis J. Jackson's National Provider Identifier is 1093063257, issued on Aug 20, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Francisco, CA. The record was last updated on Aug 20, 2012.