Loren Jackson
Counselor, Mental Health in Hayward, CA. Individual provider (NPI-1).
NPI number1881966299
StatusActive
Last updated in NPPESJan 31, 2012
Details
- NPI
- 1881966299
- Entity type
- Individual (NPI-1)
- Name
- Loren Jackson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2012
- Last updated
- Jan 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
22505 Woodroe AveHayward, CA 94541-3410
Phone 510-537-1688
Mailing address
1814 Franklin St Fl 4Oakland, CA 94612-3487
Phone 510-613-0330 · Fax 510-569-4589
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 111 Mental Health Counselor providers in Hayward · All 4,732 providers in Hayward
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