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Organization
SHADY CREEK THERAPY
Active
Organization
SHADY CREEK THERAPY
Active
Other names
Teri Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
TERI L JACKSON LMFT109393 (MARRIAGE FAMILY THERAPIST)
(530) 713-8266
Entity
Organization
Contact information
Practice address
289 MAIN ST #6, CHESTER, CA 96020-9602
(530) 713-8266
Mailing address
PO BOX 673, CHESTER, CA 96020-0673
(530) 713-8266
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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