Individual provider · Type 1 NPI
Amanda Leigh Jackson
Professional Counselor · Apple Valley, CA
NPI number
1356725840
Active
Practice location
17800 US Highway 18
Apple Valley, CA 92307-1221
Fax (760) 242-1425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 11586 (CA) |
Professional Counselor: Definition to come...
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About NPI 1356725840
Amanda Leigh Jackson's National Provider Identifier is 1356725840, issued on Jul 14, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Apple Valley, CA. The record was last updated on Apr 10, 2023.