Individual provider · Type 1 NPI

Wanda Mercedes Jackson

Counselor · Seaside, CA

NPI number 1497287338 Active

Practice location

1069 Broadway Ave Ste 201
Seaside, CA 93955-4995

Call (831) 392-1500 Map

Mailing address

1069 Broadway Ave
Seaside, CA 93955-4996

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1497287338

Wanda Mercedes Jackson's National Provider Identifier is 1497287338, issued on Mar 30, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Seaside, CA. The record was last updated on Mar 30, 2017.