Individual provider · Type 1 NPI

Shirley Jackson, SOCIAL SERVICE WORK

Mental Health Counselor · Riverside, CA

NPI number 1396926499 Active

Practice location

3625 14th St
Riverside, CA 92501-3815

Call (951) 955-1582 Map

Fax (951) 955-1610

Mailing address

PO Box 1405
Riverside, CA 92502-1405

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396926499

Shirley Jackson, SOCIAL SERVICE WORK's National Provider Identifier is 1396926499, issued on Nov 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Aug 17, 2020.