SearchCaliforniaMental Health Counselor

Jackson Red

NPI 1013466820 · on the registry since 2016

Practice

Address
1196 Third Ave
Chula Vista, CA 91911
Phone
(619) 427-4661
Organisation at this address
Community Research Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Also registered as
Mental Health Counselor
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California