Individual provider · Type 1 NPI

Diane Jackson, MFT

Marriage & Family Therapist · Roseville, CA

NPI number 1710096409 Active

Practice location

300 Harding Blvd, Suite 109
Roseville, CA 95678-2470

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC34099 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1710096409

Diane Jackson, MFT's National Provider Identifier is 1710096409, issued on Aug 29, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Roseville, CA. The record was last updated on Oct 23, 2009.