MR. CEDRIC JACKSON JR.
NPI 1295426336
Counselor in Kentfield, CA
- Individual
- Male
- Counselor
About CEDRIC JACKSON
This page provides the complete NPI Profile along with additional information for Cedric Jackson, a provider established in Kentfield, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1295426336 assigned on May 2023. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1295426336 Verify this NPI
- Provider Name
- MR. CEDRIC JACKSON JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1109 SIR FRANCIS DRAKE BLVD KENTFIELD, CA 94904
- Location Phone
- (415) 256-9995
- Mailing Address
- 2000 POST ST APT 145 SAN FRANCISCO, CA 94115
- Mailing Phone
- (415) 735-5858
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-18-2023
- Last Update Date
- 06-13-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
KENTFIELD, CA 94904
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295426336, enumerated as an "individual" on May 18, 2023.
The provider is located at 1109 SIR FRANCIS DRAKE BLVD KENTFIELD, CA 94904 and the phone number is (415) 256-9995.
Counselor with taxonomy code 101Y00000X.
