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Search › California › 103K00000X

Jecoliah Jackson, RBT

NPI 1376012583 · on the registry since 2018

Practice

Address
4001 Westerly Pl Ste 110
Newport Beach, CA 92660
Phone
(949) 756-8799
Organisation at this address
Casa Capri
Fingerprint Wellness Inc
Yellowstone Women'S First Step House, Inc.
Forbes Individual And Family Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-16

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