Leontyne Jackson

NPI #1942476866 in Richmond, California

Provider Information

NPI Number: 1942476866
Entity Type: Individual
Name: Leontyne Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 84 BROADWAY
City: Richmond
State: California
ZIP Code: 94804-1910
Phone: (510) 231-7812

Specialties & Taxonomy Codes

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

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