JACKIE EBBERT
Social Worker - Clinical
Active
Individual
NPI: 1033266796
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LCS10717 (CA) |
Frequently Asked Questions
NPI 1033266796 is the National Provider Identifier for JACKIE EBBERT, a Social Worker - Clinical provider located in San Jose, CA. This NPI was enumerated on January 4, 2007.
JACKIE EBBERT practices at 175 BERNAL RD STE 140, San Jose, CA 95119.
Quick Facts
- NPI
- 1033266796
- Type
- Individual
- Enumerated
- Jan 4, 2007
- Last Updated
- Jul 8, 2007
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