Individual provider · Type 1 NPI
Bronwyn Kay Jackson
Mental Health Counselor · Pinole, CA
NPI number
1407028517
Active
Practice location
716 Marlesta Rd
Pinole, CA 94564-2607
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 1407028517
Bronwyn Kay Jackson's National Provider Identifier is 1407028517, issued on Mar 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pinole, CA. The record was last updated on Mar 28, 2008.