Organization
SILENT HILLS FAMILY THERAPIST CORPORATIOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY JO JACKSON MED (LMFT)
(925) 426-4729
Entity
Organization
Contact information
Practice address
2955 SHATTUCK AVE STE 2955, BERKELEY, CA 94705-1808
(925) 426-4729
Mailing address
PO BOX 5536, BERKELEY, CA 94705-0536
(925) 426-4729
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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