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NPI Profile for JIMMIE L JACKSON JR in SAN DIEGO, CA.
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Other Service Providers |
175T00000X |
| NPI # | 1124513783 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/26/2018 | |
| Last updated | 07/02/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JIMMIE L JACKSON JR
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JIMMIE L JACKSON JR