Brooke P Jackson Psychologist
NPI #1144838913 in Kentfield, California
Provider Information
- NPI Number
- 1144838913
- Entity Type
- Organization
- Organization Name
- Brooke P Jackson Psychologist
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jul 17, 2020
- Last Updated
- Jul 17, 2020
Practice Location
- Address
- 1044 SIR FRANCIS DRAKE BLVD STE 1
- City
- Kentfield
- State
- California
- ZIP Code
- 94904-1454
- Phone
- (415) 609-2361
Authorized Official
- Name
- BROOKE P JACKSON, PSYD
- Title
- OWNER
- Phone
- (415) 609-2361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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