MRS. Wanda Mercedes Jackson

NPI #1497287338 in Seaside, California

Provider Information

NPI Number: 1497287338
Entity Type: Individual
Name: MRS. Wanda Mercedes Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 30, 2017
Last Updated: Mar 30, 2017

Practice Location

Address: 1069 BROADWAY AVE STE 201
City: Seaside
State: California
ZIP Code: 93955-4995
Phone: (831) 392-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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