Individual
SHARON MARILYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
PO BOX 602002, SAN DIEGO, CA 92160-2002
(928) 273-1159
Mailing address
PO BOX 602002, SAN DIEGO, CA 92160-2002
(928) 273-1159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6364
CA
Other
Enumeration date
03/20/2014
Last updated
10/28/2024
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