Individual provider · Type 1 NPI

Shalimar G. Jackson

Mental Health Counselor · San Diego, CA

NPI number 1306158761 Active

Practice location

9445 Farnham St
San Diego, CA 92123-1308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1306158761

Shalimar G. Jackson's National Provider Identifier is 1306158761, issued on Jul 13, 2010. 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 Jul 13, 2010.