Individual provider · Type 1 NPI

Joseph Jackson

Peer Specialist · Greenbrae, CA

NPI number 1912386509 Active

Practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

6044 Oak Leaf Pl
Rohnert Park, CA 94928-2991

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1912386509

Joseph Jackson's National Provider Identifier is 1912386509, issued on May 28, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Greenbrae, CA. The record was last updated on Jul 13, 2023.