Melissa Grace Jackson
NPI #1205367737 in Newport Beach, California
Provider Information
- NPI Number
- 1205367737
- Entity Type
- Individual
- Name
- Melissa Grace Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Mar 26, 2017
- Last Updated
- Mar 26, 2017
Practice Location
- Address
- 1601 W BALBOA BLVD
- Address 2
- APT D
- City
- Newport Beach
- State
- California
- ZIP Code
- 92663-4527
- Phone
- (949) 723-2388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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