Individual
BARBRA JANNET JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1180 THIRD AVE STE C3, CHULA VISTA, CA 91911-3139
(619) 691-8164
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130326
CA
1041C0700X
Clinical Social Worker
ASW104854
CA
Other
Enumeration date
01/13/2014
Last updated
07/03/2025
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