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Search › California › 106H00000X

Andre Jackson

NPI 1932695970 · on the registry since 2018

Practice

Address
3450 3rd St
San Francisco, CA 94124
Phone
(415) 437-3990
Fax
(415) 437-3994
Organisation at this address
Safe & Sound
Homeless Childrens Network
Homeless Children'S Network
Homeless Children'S Network
The Center For Youth Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address
85

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YA0400X
101YM0800X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-21

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