Individual
SARA ANNE PILI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, MA, LPCC
Contact information
Practice address
1274 CENTER COURT DR STE 112, COVINA, CA 91724-3668
(626) 331-8177
Mailing address
PO BOX 2238, LA HABRA, CA 90632-2238
(714) 747-9233
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC3876
CA
Other
Enumeration date
06/04/2020
Last updated
11/27/2023
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