Teneva Jackson
Counselor in San Leandro, CA. Individual provider (NPI-1).
NPI number1982256202
StatusActive
Last updated in NPPESJul 16, 2019
Details
- NPI
- 1982256202
- Entity type
- Individual (NPI-1)
- Name
- Teneva Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2019
- Last updated
- Jul 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2275 Arlington DrSan Leandro, CA 94578-1132
Phone 510-317-1444
Mailing address
2275 Arlington DrSan Leandro, CA 94578-1132
Phone 510-317-1444
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