Individual
DR. GENEE DELYENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
921 THE ALAMEDA, SUITE 228, BERKELEY, CA 94707-2311
(415) 860-6860
(855) 860-6860
Mailing address
921 THE ALAMEDA, SUITE 228, BERKELEY, CA 94707-1187
(415) 860-6860
(855) 860-6860
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17749
CA
Other
Enumeration date
07/03/2006
Last updated
04/13/2017
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