Individual provider · Type 1 NPI

Lisa Ann Jackson

Counselor · Fairfield, CA

NPI number 1659980738 Active

Practice location

956 E Tabor Ave
Fairfield, CA 94533-4104

Call (707) 555-1212 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 1659980738

Lisa Ann Jackson's National Provider Identifier is 1659980738, issued on Jul 24, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairfield, CA. The record was last updated on Nov 27, 2023.