Samantha L Jackson
NPI #1174906549 in Emeryville, California
Provider Information
- NPI Number
- 1174906549
- Entity Type
- Individual
- Name
- Samantha L Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 3, 2015
- Last Updated
- Apr 11, 2025
Practice Location
- Address
- 1335 STANFORD AVE
- City
- Emeryville
- State
- California
- ZIP Code
- 94608-2536
- Phone
- (510) 647-5101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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