Individual provider · Type 1 NPI

Leontyne Jackson

Mental Health Counselor · Richmond, CA

NPI number 1942476866 Active

Practice location

84 Broadway
Richmond, CA 94804-1910

Call (510) 231-7812 Map

Fax (510) 231-7810

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942476866

Leontyne Jackson's National Provider Identifier is 1942476866, issued on Apr 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Apr 30, 2008.