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PHOENIX JACKSON

Mental Health Counselor

NPI: 1619349933Individual

Specialties, Licenses & Credentials

Marriage & Family Therapist

Code: 106H00000X

91873(CA)

Counselor

Code: 101Y00000X

Counselor — School

Code: 101YS0200X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

91873(CA)

Counselor — Mental Health

Code: 101YM0800X

91873(CA)

Contact & Hours

Address
1 SAINT VINCENTS DR
SAN RAFAEL, CA 94903

Quick Facts

NPI
1619349933
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
5
Locations
1

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