Individual provider · Type 1 NPI

Mable Lee Jackson

Counselor · Oakland, CA

NPI number 1962685602 Active

Practice location

2551 San Pablo Ave
Oakland, CA 94612-1159

Call (510) 446-7142 Map

Fax (510) 446-7192

Mailing address

2551 San Pablo Avenue
Oakland, CA 94612

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1962685602

Mable Lee Jackson's National Provider Identifier is 1962685602, issued on Dec 17, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oakland, CA. The record was last updated on Dec 17, 2007.