Jackson Family Therapy LLC
NPI #1043925266 in Hesperia, California
Provider Information
- NPI Number
- 1043925266
- Entity Type
- Organization
- Organization Name
- Jackson Family Therapy LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 17565 EL CAJON DR
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-7218
- Phone
- (760) 979-8058
Authorized Official
- Name
- ANDRE NAKROMBA JACKSON
- Title
- OWNER
- Phone
- (619) 949-4476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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