FREEDA LEENELL JACKSON
NPI 1912487752
Counselor - Mental Health in San Diego, CA

Q: What is Freeda Jackson's NPI number?

The NPI number for Freeda Jackson is 1912487752. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Q: What is Freeda Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Freeda Jackson was last updated on August 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2018

9445 FARNHAM ST STE 100, SAN DIEGO, CA 92123(858) 380-4676 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Freeda Leenell Jackson NPPES

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

FREEDA LEENELL JACKSON (NPI 1912487752) is an individual mental health provider in San Diego, California and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1912487752

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameFREEDA LEENELL JACKSON

Location Address9445 FARNHAM ST STE 100San Diego, CA 92123-1308

Mailing Address9445 Farnham St Ste 100San Diego, CA 92123-1308 · (858) 380-4676

Phone(858) 380-4676

Sole ProprietorNo

Enumeration DateAugust 21, 2018

✔ NPI 1912487752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

9445 FARNHAM ST STE 100, San Diego, CA 92123

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Other Providers at the Same Location NPPES 19

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