Adrian Jackson

NPI #1992570493 in San Mateo, California

Provider Information

NPI Number: 1992570493
Entity Type: Individual
Name: Adrian Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 15, 2023
Last Updated: Nov 15, 2023

Practice Location

Address: 3701 HACIENDA ST
City: San Mateo
State: California
ZIP Code: 94403-4366
Phone: (650) 539-0340

Specialties & Taxonomy Codes

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

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