Search › California › 1041C0700X
Shannon Jackson, MA
NPI 1467621805 · on the registry since 2008
Practice
- Address
- 1255 Allston Way
Berkeley, CA 94702 - Phone
- (510) 849-1402
- Organisation at this address
- Berkeley Youth Alternatives
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Sex
- Female
- Record last updated
- 2008-09-29
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