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ROBERT TERRELL JACKSON DIABETES LS COACH
NPI 1851865034
Counselor in Corona, CA

Active since January 21, 2019
650 S MAIN ST, CORONA, CA 92882(951) 642-0341 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Terrell Jackson Diabetes Ls Coach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT TERRELL JACKSON DIABETES LS COACH (NPI 1851865034) is an individual counselor in Corona, California and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1851865034
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameROBERT TERRELL JACKSONCredential: DIABETES LS COACH
Location Address650 S MAIN STCorona, CA 92882-3417
Mailing AddressPo Box 821Artesia, CA 90702-0821 · (951) 642-0341 · Fax (951) 736-6401
Phone(951) 642-0341
Sole ProprietorYes
Enumeration DateJanuary 21, 2019
✔ NPI 1851865034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
650 S MAIN ST, Corona, CA 92882
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Other Identifiers 1

Other1558583427CA · Rd,cde In The Process Of Reapplying For Medicare

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1851865034. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Robert Jackson located?

Robert Jackson practices at 650 S Main St, Corona, CA 92882. The listed phone number is (951) 642-0341.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.