Individual provider · Type 1 NPI

Jimmie Lee Jackson Jr.

Peer Specialist · San Diego, CA

NPI number 1124513783 Active

Practice location

1260 Morena Blvd Ste 100
San Diego, CA 92110

Call (619) 398-0355 Map

Other practice locations

  • 1202 Morena Blvd Ste 300, San Diego, CA 92110-3844 · (619) 275-0822

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 1124513783

Jimmie Lee Jackson Jr.'s National Provider Identifier is 1124513783, issued on Jun 26, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 2, 2018.