Individual provider · Type 1 NPI

Debra Ericson Jackson

Marriage & Family Therapist · San Bernardino, CA

NPI number 1962776054 Active

Practice location

1669 N E St
San Bernardino, CA 92405-4405

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFT INTERN 51888 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1962776054

Debra Ericson Jackson's National Provider Identifier is 1962776054, issued on Mar 7, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Bernardino, CA. The record was last updated on Mar 7, 2012.