Individual
MICHELLE R JACKSON-MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
21200 OXNARD ST STE 6132, WOODLAND HILLS, CA 91367-5014
(310) 403-6533
Mailing address
21200 OXNARD ST # 6132, WOODLAND HILLS, CA 91367-5014
(310) 403-6533
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
07/08/2023
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