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Individual
SAMANTHA NAILAH MITCHELLE JACKSON
Active
Individual
SAMANTHA NAILAH MITCHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
102031
CA
101YM0800X
Mental Health Counselor
ACSW102031
CA
104100000X
Social Worker
ACSW102031
CA
1041C0700X
Clinical Social Worker
Primary
137898
CA
Other
Enumeration date
05/24/2021
Last updated
04/30/2026
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