Individual provider · Type 1 NPI

Ted Jackson

Marriage & Family Therapist · Corona, CA

NPI number 1487047072 Active

Practice location

2275 S Main St Ste 201
Corona, CA 92882-5303

Call (951) 279-3222 Map

Mailing address

141 N Arrowhead Ave
San Bernardino, CA 92408

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000X102685 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1487047072

Ted Jackson's National Provider Identifier is 1487047072, issued on Mar 6, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Corona, CA. The record was last updated on Oct 27, 2017.