MS. Michelle Denise Jackson, LPT
NPI #1033460761 in Banning, California
Provider Information
- NPI Number
- 1033460761
- Entity Type
- Individual
- Name
- MS. Michelle Denise Jackson, LPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- LPT
- Enumeration Date
- Sep 20, 2012
- Last Updated
- Sep 20, 2012
Practice Location
- Address
- 1330 W RAMSEY ST STE 100
- City
- Banning
- State
- California
- ZIP Code
- 92220-4477
- Phone
- (951) 849-7142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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