SHALIMAR G JACKSON
NPI 1306158761
Counselor - Mental Health in San Diego, CA
About Shalimar G Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHALIMAR G JACKSON (NPI 1306158761) is an individual mental health provider in San Diego, California and active in the NPI registry since July 2010.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shalimar Jackson's NPI number?
The NPI number for Shalimar Jackson is 1306158761. It was assigned to this individual provider in the NPPES registry on July 13, 2010.
Where is Shalimar Jackson located?
Shalimar Jackson practices at 9445 Farnham St, San Diego, CA 92123. The listed phone number is (858) 380-4676.
What is Shalimar Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Shalimar Jackson was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shalimar G Jackson · NPI 1306158761
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since July 13, 2010.
## Identity
- **NPI:** 1306158761 (Entity type: Individual)
- **Enumerated:** July 13, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9445 FARNHAM ST, San Diego, CA 92123-1308
- **Phone:** (858) 380-4676
## Record status
- **NPPES last updated:** July 13, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1306158761) · Data from the CMS NPPES public registry.