Jackson Red

NPI #1013466820 in Chula Vista, California

Provider Information

NPI Number: 1013466820
Entity Type: Individual
Name: Jackson Red
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 22, 2016
Last Updated: Oct 25, 2018

Practice Location

Address: 1196 THIRD AVE
City: Chula Vista
State: California
ZIP Code: 91911-3131
Phone: (619) 427-4661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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