T JACKSON, MT-BC
Music Therapist
Active
Individual
NPI: 1104258615
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Music Therapist | 225A00000X | Yes | 08720 (CA) |
Frequently Asked Questions
NPI 1104258615 is the National Provider Identifier for T JACKSON, MT-BC, a Music Therapist provider located in Roseville, CA. This NPI was enumerated on August 7, 2013.
T JACKSON, MT-BC practices at 1412 OAK GROVE DR, Roseville, CA 95747.
Quick Facts
- NPI
- 1104258615
- Type
- Individual
- Enumerated
- Aug 7, 2013
- Last Updated
- Aug 7, 2013
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