LISA JACKSON
Counselor
Active
Individual
NPI: 1619194628
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1619194628 is the National Provider Identifier for LISA JACKSON, a Counselor provider located in Riverside, CA. This NPI was enumerated on April 19, 2007.
LISA JACKSON practices at 1827 ATLANTA AVE STE D3, Riverside, CA 92507.
Quick Facts
- NPI
- 1619194628
- Type
- Individual
- Enumerated
- Apr 19, 2007
- Last Updated
- Jul 8, 2007
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RIVERSIDE RECOVERY RESOURCES
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