Individual provider · Type 1 NPI

Georgia Ann Jackson-Thompson, MA

Mental Health Counselor · Fontana, CA

NPI number 1851423206 Active

Practice location

16090 Jackson Drvie
Fontana, CA 92336

Call (909) 429-1216 Map

Fax (909) 429-1216

Mailing address

9626 Avalon Blvd
Los Angeles, CA 90003-4311

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X40585 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1851423206

Georgia Ann Jackson-Thompson, MA's National Provider Identifier is 1851423206, issued on Mar 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fontana, CA. The record was last updated on Jul 9, 2007.