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TIENNA JACKSON

Clinical Social Worker

NPI: 1194976225Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

89122(CA)
Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Counselor

Counselor

Code: 101Y00000X

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Contact & Hours

Address
7828 BROADWAY
LEMON GROVE, CA 91945

Locations (2)

Practice Location

7828 BROADWAY, LEMON GROVE, CA
(619) 876-4470

Telecare

3132 JEFFERSON ST, SAN DIEGO, CA
3.7(619) 683-3100

Quick Facts

NPI
1194976225
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
5
Locations
2

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