Michael Jackson, MFT

NPI 1740478155 · on the registry since 2007 · sole proprietor

Practice

Address: 448 S Marengo Ave
Pasadena, CA 91101
Phone: (626) 585-9146
Fax: (626) 792-4308
Organisation at this address: Foss Psychological Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-10-10

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