Individual provider · Type 1 NPI
Phoenix Jackson
Mental Health Counselor · San Rafael, CA
NPI number
1619349933
Active
Practice location
1 Saint Vincents Dr
San Rafael, CA 94903-1504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 91873 (CA) |
| Counselor | 101Y00000X | None listed |
| School Counselor | 101YS0200X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | 91873 (CA) |
| Mental Health Counselor Primary | 101YM0800X | 91873 (CA) |
Mental Health Counselor: Definition to come...
100 other providers at this address
- Catholic Charities CyoEmotionally Disturbed Childrens' Residential Treatment Facility San Rafael, CA NPI 1710042650
- Catholic Charities CyoMental Illness Community Based Residential Treatment Facility San Rafael, CA NPI 1982993440
- Catholic Charities Cyo of the Archdiocese of San FranciscoEmotionally Disturbed Childrens' Residential Treatment Facility San Rafael, CA NPI 1538223300
- ST VincentsEmotionally Disturbed Childrens' Residential Treatment Facility San Rafael, CA NPI 1225327786
- Amy FrankRegistered Nurse San Rafael, CA NPI 1659814838
- Ana M. MartinezMarriage & Family Therapist San Rafael, CA NPI 1639484017
- Andrew Scanlon IvCommunity Health Worker San Rafael, CA NPI 1245644087
- Andrew Seth KushnickMarriage & Family Therapist San Rafael, CA NPI 1407283096
- Ann Michelle YoderRehabilitation Practitioner San Rafael, CA NPI 1760086482
- Anne B. DolanMarriage & Family Therapist San Rafael, CA NPI 1063582922
- Ashleigh Williams, M.S., MFTIMarriage & Family Therapist San Rafael, CA NPI 1194107359
- Ashley Malone FaganMarriage & Family Therapist San Rafael, CA NPI 1124467618
Other mental health counselor providers in San Rafael
- Lisa Wynland LukianoffMental Health Counselor San Rafael, CA NPI 1003009408
- Sara Chambers, M.A.Mental Health Counselor San Rafael, CA NPI 1003240698
- Daniel Alan Linder, MA, MFTMental Health Counselor San Rafael, CA NPI 1003966177
- Anneli Kim Richards, MSMental Health Counselor San Rafael, CA NPI 1003984949
- David WildeMental Health Counselor San Rafael, CA NPI 1013182658
- Arthur Mullin IiiMental Health Counselor San Rafael, CA NPI 1013252568
- Erin Hiebsch, MAMental Health Counselor San Rafael, CA NPI 1013265743
- Avital SchlesingerMental Health Counselor San Rafael, CA NPI 1013322403
About NPI 1619349933
Phoenix Jackson's National Provider Identifier is 1619349933, issued on Oct 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Oct 25, 2016.