JUDITH JACKSON
Counselor - Mental Health
Active
Individual
NPI: 1104100775
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1104100775 is the National Provider Identifier for JUDITH JACKSON, a Counselor - Mental Health provider located in Santa Cruz, CA. This NPI was enumerated on September 30, 2011.
JUDITH JACKSON practices at 1400 EMELINE AVE, Santa Cruz, CA 95060.
Quick Facts
- NPI
- 1104100775
- Type
- Individual
- Enumerated
- Sep 30, 2011
- Last Updated
- Nov 1, 2012
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