MRS. DEBRA ERICSON JACKSON
NPI 1962776054
Marriage & Family Therapist in San Bernardino, CA

Q: What is Debra Jackson's NPI number?

The NPI number for Debra Jackson is 1962776054. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Q: What is Debra Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Debra Jackson was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 07, 2012

1669 N E ST, SAN BERNARDINO, CA 92405(909) 886-6737 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Debra Ericson Jackson NPPES

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

MRS. DEBRA ERICSON JACKSON (NPI 1962776054) is an individual marriage & family therapist in San Bernardino, California, licensed in California (MFT INTERN 51888) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1962776054

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. DEBRA ERICSON JACKSON

Location Address1669 N E STSan Bernardino, CA 92405-4405

Mailing Address1669 N E StSan Bernardino, CA 92405-4405 · (909) 886-6737

Phone(909) 886-6737

Sole ProprietorNo

Enumeration DateMarch 7, 2012

✔ NPI 1962776054 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 · MFT INTERN 51888

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.

1669 N E ST, San Bernardino, CA 92405

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Other Providers at the Same Location NPPES 16

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

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