Individual
MS. JAQUELIN N PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
13 OAKCREST DR, SAN RAFAEL, CA 94903-2842
(415) 479-5632
Mailing address
13 OAKCREST DR, SAN RAFAEL, CA 94903-2842
(415) 479-5632
(415) 479-5861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MFC33314
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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