Paul A Jackson Jr., MA
Counselor in Sacramento, CA. Individual provider (NPI-1).
NPI number1609005172
StatusActive
Last updated in NPPESDec 5, 2014
Details
- NPI
- 1609005172
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul A Jackson Jr.
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2009
- Last updated
- Dec 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
5117 Andrea BlvdSuite 86
Sacramento, CA 95842-2518
Phone 480-322-9955
Mailing address
5117 Andrea BlvdSuite 86
Sacramento, CA 95842-2518
Phone 480-322-9955
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