Individual
ALISON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-4888
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
97913
CA
Other
Enumeration date
08/09/2014
Last updated
04/30/2024
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