Individual provider · Type 1 NPI

Angelique Allyssa Jackson

Peer Specialist · Oceanside, CA

NPI number 1104577147 Active

Practice location

2122 S El Camino Real Ste 201
Oceanside, CA 92054-6210

Call (760) 290-8170 Map

Fax (760) 439-0019

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104577147

Angelique Allyssa Jackson's National Provider Identifier is 1104577147, issued on Jan 11, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oceanside, CA. The record was last updated on Jan 11, 2022.