Individual provider · Type 1 NPI

Raquel Jackson

Mental Health Counselor · Lake Elsinore, CA

NPI number 1699131771 Active

Practice location

600 Central Ave Ste E1
Lake Elsinore, CA 92530-2740

Fax (951) 471-1453

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XD9112974 (CA)

Mental Health Counselor: Definition to come...

23 other providers at this address

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About NPI 1699131771

Raquel Jackson's National Provider Identifier is 1699131771, issued on Jan 5, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jan 5, 2016.