MR. Mark Henry Jackson, LCSW
NPI #1487976387 in Clovis, California
Provider Information
- NPI Number
- 1487976387
- Entity Type
- Individual
- Name
- MR. Mark Henry Jackson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 18, 2010
- Last Updated
- Jun 28, 2024
Practice Location
- Address
- 3097 WILLOW AVE STE 9
- City
- Clovis
- State
- California
- ZIP Code
- 93612-4715
- Phone
- (559) 258-0545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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