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Individual

ALEA N JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 387-7335
Mailing address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 387-7335

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
60581
CA
106H00000X
Marriage & Family Therapist
Primary
84343
CA

Other

Enumeration date
07/31/2009
Last updated
09/20/2021
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