Individual provider · Type 1 NPI

Loren Jackson

Mental Health Counselor · Hayward, CA

NPI number 1881966299 Active

Practice location

22505 Woodroe Ave
Hayward, CA 94541-3410

Mailing address

1814 Franklin St Fl 4
Oakland, CA 94612-3487

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1881966299

Loren Jackson's National Provider Identifier is 1881966299, issued on Jan 31, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hayward, CA. The record was last updated on Jan 31, 2012.