Organization
SASHA JACKSON, LLC
Active
Other names
Sasha Jackson, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA JA-NAE JACKSON LCSW (OWNER)
(209) 242-0601
Entity
Organization
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 242-0601
Mailing address
PO BOX 1574, PATTERSON, CA 95363-1574
(209) 242-0601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
03/09/2021
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