BRONWYN KAY JACKSON
NPI 1407028517
Counselor - Mental Health in Pinole, CA
About Bronwyn Kay Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRONWYN KAY JACKSON (NPI 1407028517) is an individual mental health provider in Pinole, California and active in the NPI registry since March 2008.
NPPES Registry Identity
Specialties & Licenses
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 Bronwyn Jackson's NPI number?
The NPI number for Bronwyn Jackson is 1407028517. It was assigned to this individual provider in the NPPES registry on March 28, 2008.
Where is Bronwyn Jackson located?
Bronwyn Jackson practices at 716 Marlesta Rd, Pinole, CA 94564. The listed phone number is (510) 575-3648.
What is Bronwyn 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 Bronwyn Jackson was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Bronwyn Kay Jackson · NPI 1407028517
Mental Health provider in Pinole, California. Individual provider, active in the CMS NPPES registry since March 28, 2008.
## Identity
- **NPI:** 1407028517 (Entity type: Individual)
- **Enumerated:** March 28, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 716 MARLESTA RD, Pinole, CA 94564-2607
- **Phone:** (510) 575-3648
## Record status
- **NPPES last updated:** March 28, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1407028517) · Data from the CMS NPPES public registry.