Individual provider · Type 1 NPI
Keisha Holmes Jackson
Mental Health Counselor · Victorville, CA
NPI number
1235497553
Active
Practice location
15095 Amargosa Rd, Suite 201
Victorville, CA 92394-1879
Fax (760) 513-4676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1235497553
Keisha Holmes Jackson's National Provider Identifier is 1235497553, issued on Apr 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Victorville, CA. The record was last updated on Apr 24, 2012.