Individual provider · Type 1 NPI

Kaila Rae Jackson

Mental Health Counselor · San Diego, CA

NPI number 1134916539 Active

Practice location

1925 Euclid Ave
San Diego, CA 92105-5361

Mailing address

1658 E Cyrene Dr
Carson, CA 90746-2928

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134916539

Kaila Rae Jackson's National Provider Identifier is 1134916539, issued on Apr 21, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Apr 21, 2025.