MS. Diana Jackson

NPI #1942423959 in Tracy, California

Provider Information

NPI Number: 1942423959
Entity Type: Individual
Name: MS. Diana Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 19 E 6TH ST
City: Tracy
State: California
ZIP Code: 95376-4107
Phone: (209) 956-4240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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