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MS. TEDDIE JACKSON PSYD
NPI 1871851626
Marriage & Family Therapist in San Diego, CA

Active since April 30, 2012
1420 KETTNER BLVD STE 215, SAN DIEGO, CA 92101(916) 388-9418 Get Directions Write a Review

NPPES record last updated: November 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Teddie Jackson Psyd NPPES

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

MS. TEDDIE JACKSON PSYD (NPI 1871851626) is an individual marriage & family therapist in San Diego, California, licensed in California (IMF69916) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1871851626
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. TEDDIE JACKSONCredential: PSYD
Location Address1420 KETTNER BLVD STE 215San Diego, CA 92101-2421
Mailing Address3805 Dove StSan Diego, CA 92103-2953 · (916) 396-5987
Phone(916) 388-9418
Sole ProprietorNo
Enumeration DateApril 30, 2012
Last NPPES UpdateNovember 26, 2023
NPPES CertifiedNovember 26, 2023
✔ NPI 1871851626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · IMF69916
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1420 KETTNER BLVD STE 215, San Diego, CA 92101
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Other Names 1

Former Name (1)Teddie Caitlin Cox Lance Ma

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELLA GOOD THERAPY, PLLC
Counselor (Mental Health)
1420 KETTNER BLVD STE 215
SAN DIEGO, CA 92101
San Diego County (858) 867-9474

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 Teddie Jackson's NPI number?

The NPI number for Teddie Jackson is 1871851626. It was assigned to this individual provider in the NPPES registry on April 30, 2012. The provider is also known as Teddie Caitlin Cox Lance Ma.

Where is Teddie Jackson located?

Teddie Jackson practices at 1420 Kettner Blvd Ste 215, San Diego, CA 92101. The listed phone number is (916) 388-9418.

What is Teddie Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Teddie Jackson was last updated on November 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.