Individual provider · Type 1 NPI

Lisa Jackson

Counselor · Riverside, CA

NPI number 1619194628 Active

Practice location

1827 Atlanta Ave Ste D3
Riverside, CA 92507-7418

Call (951) 955-8000 Map

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 1619194628

Lisa Jackson's National Provider Identifier is 1619194628, issued on Apr 19, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.