MRS. Teri Lea Jackson
NPI #1700983509 in Susanville, California
Provider Information
- NPI Number
- 1700983509
- Entity Type
- Individual
- Name
- MRS. Teri Lea Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Mar 19, 2015
Practice Location
- Address
- 555 HOSPITAL LN
- City
- Susanville
- State
- California
- ZIP Code
- 96130-4808
- Phone
- (530) 251-8108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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