Individual
JACKELYN KELLY LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 6TH AVE STE 150, SAN DIEGO, CA 92101-4370
(619) 252-3562
Mailing address
1250 6TH AVE STE 150, SAN DIEGO, CA 92101-4370
(619) 252-3562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
05/05/2026
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