Individual provider · Type 1 NPI

Jackie Jackson

Peer Specialist · Tulare, CA

NPI number 1952147530 Active

Practice location

201 N K St
Tulare, CA 93274-4005

Mailing address

2100 S Laspina St Apt 107
Tulare, CA 93274-6902

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 1952147530

Jackie Jackson's National Provider Identifier is 1952147530, issued on Jul 3, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulare, CA. The record was last updated on Jul 3, 2024.