Individual provider · Type 1 NPI

Alex Jackson

Mental Health Counselor · Ventura, CA

NPI number 1609279702 Active

Practice location

1838 Eastman Ave Ste 100
Ventura, CA 93003-6498

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609279702

Alex Jackson's National Provider Identifier is 1609279702, issued on Oct 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ventura, CA. The record was last updated on Oct 2, 2014.