Georgia Ann Jackson-Thompso in Fontana - Mental Health

Georgia Ann Jackson-Thompso - NPI 1851423206

Georgia Ann Jackson-Thompso is a Mental Health in Fontana, California. Georgia Ann Jackson-Thompso practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Georgia Ann Jackson-Thompso is 1851423206. The last update date is 2007-07-09.

Georgia Ann Jackson-Thompso's current location address is 16090 Jackson Drvie, Fontana, California. You can contact this provider via phone number 9094291216 and fax number 9094291216. The mailing address for Georgia Ann Jackson-Thompso is 16090 Jackson Drvie, Fontana, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Georgia Ann Jackson-Thompso
Address 16090 Jackson Drvie, Fontana, California
Phone Number 9094291216
Fax Number 9094291216
Sole Proprietor Y
Credentials MA

NPI Number Detail

NPI Number 1851423206
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 16090 Jackson Drvie
City Fontana
State California (CA)
Post Code 92336
Phone Number 9094291216
Fax Number 9094291216

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 40585
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Georgia Ann Jackson-Thompso

What is the unique 10-digit identification code assigned to Georgia Ann Jackson-Thompso by the Centers for Medicare & Medicaid Services?

The Georgia Ann Jackson-Thompso has been issued the NPI (National Provider Identifier) 1851423206, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Georgia Ann Jackson-Thompso's physical address?

The Georgia Ann Jackson-Thompso is physically located at 16090 Jackson Drvie, in the city of Fontana, CA, with the postal code 92336.

What is Georgia Ann Jackson-Thompso's specialized field of practice, and what is the corresponding taxonomy classification code?

The Georgia Ann Jackson-Thompso's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.

When did the Georgia Ann Jackson-Thompso receive its 1851423206?

The Georgia Ann Jackson-Thompso was issued its 1851423206 on 2007-03-12, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Georgia Ann Jackson-Thompso, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Georgia Ann Jackson-Thompso, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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