Individual
MS. AMELIA G JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
629 MARIN ST UNIT 4114, VALLEJO, CA 94590-8419
(707) 832-0174
Mailing address
629 MARIN ST UNIT 4114, VALLEJO, CA 94590-8419
(707) 832-0174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
135469
CA
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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