MS. Michelle Lorraine Jackson, ASW
NPI #1083021968 in Santa Rosa, California
Provider Information
- NPI Number
- 1083021968
- Entity Type
- Individual
- Name
- MS. Michelle Lorraine Jackson, ASW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- ASW
- Enumeration Date
- Jul 13, 2014
- Last Updated
- May 18, 2015
Practice Location
- Address
- 1421 GUERNEVILLE RD STE 218
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95403-7255
- Phone
- (707) 576-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Social Worker |
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