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Organization
NAOMI JACKSON THE PROFESSION OF MARRIAGE AND FAMILY THERAPY
Active
Organization
NAOMI JACKSON THE PROFESSION OF MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI ELNORA JACKSON LMFT (OWNER)
(909) 674-4289
Entity
Organization
Contact information
Practice address
101 E REDLANDS BLVD STE 246, REDLANDS, CA 92373-4725
(909) 674-4289
(909) 363-8977
Mailing address
101 E REDLANDS BLVD STE 246, REDLANDS, CA 92373-4725
(909) 674-4289
(909) 363-8977
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT80560
CA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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