Carrie Jackson
NPI #1225690043 in La Jolla, California
Provider Information
- NPI Number
- 1225690043
- Entity Type
- Individual
- Name
- Carrie Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Enumeration Date
- Jul 1, 2019
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 3252 HOLIDAY CT STE 107
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1807
- Phone
- (803) 206-1550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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