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JACKSON ROACH
Mental Health Counselor
NPI: 1992368104Individual
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
Contact & Hours
- Address
- 452 S 1ST ST
SAN JOSE, CA 95113 - Phone
- (408) 841-4319
Quick Facts
- NPI
- 1992368104
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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