Individual
DANIEL F JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-1639
(510) 307-1615
Mailing address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-1639
(510) 307-1615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 17181
CA
Other
Enumeration date
12/12/2006
Last updated
12/30/2021
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