Michelle Lorraine Jackson, ASW
Social Worker in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1083021968
StatusActive
Last updated in NPPESMay 18, 2015
Details
- NPI
- 1083021968
- Entity type
- Individual (NPI-1)
- Name
- Ms. Michelle Lorraine Jackson
- Credential
- ASW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2014
- Last updated
- May 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | ASW59973 | CA | Yes |
| 1041C0700X | Social Worker, Clinical | asw59973 | CA |
Practice location
1421 Guerneville Rd Ste 218Santa Rosa, CA 95403-7255
Phone 707-576-7700 · Fax 707-576-7744
Mailing address
1421 Guerneville RdSanta Rosa, CA 95403-7220
Phone 707-576-7700 · Fax 707-576-7744
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All 81 Social Worker providers in Santa Rosa · All 8,142 providers in Santa Rosa
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