Individual
DR. ALISON MOON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
899 SANTA CRUZ AVE STE 200, MENLO PARK, CA 94025-4643
(650) 489-1617
Mailing address
899 SANTA CRUZ AVE STE 200, MENLO PARK, CA 94025-4643
(650) 489-1617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32476
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/11/2013
Last updated
06/25/2021
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