Teri Lea Jackson in Marysville - Marriage & Family Therapist
Teri Lea Jackson - NPI 1700983509
Teri Lea Jackson is a Marriage & Family Therapist in Marysville, California. Teri Lea Jackson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Teri Lea Jackson is 1700983509. The last update date is 2015-03-19.
Teri Lea Jackson's current location address is 6219 Stonehedge Dr, Marysville, California. You can contact this provider via phone number 5307138266. The mailing address for Teri Lea Jackson is 6219 Stonehedge Dr, Marysville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teri Lea Jackson |
|---|---|
| Address | 6219 Stonehedge Dr, Marysville, California |
| Phone Number | 5307138266 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700983509 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2015-03-19 |
Provider Mailing Address Detail
| Address | 6219 Stonehedge Dr |
|---|---|
| City | Marysville |
| State | California (CA) |
| Post Code | 959019519 |
| Phone Number | 5307138266 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 68899 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68899 | CA | BOARD OF BEHAVIORAL SCIENCES |
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What is the unique 10-digit identifier code issued to Teri Lea Jackson by the Centers for Medicare & Medicaid Services?
The Teri Lea Jackson has been assigned the NPI (National Provider Identifier) 1700983509 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Teri Lea Jackson is physically located?
The Teri Lea Jackson is physically situated at the following address: 6219 Stonehedge Dr, Marysville, CA, 959019519.
What is Teri Lea Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Teri Lea Jackson is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700983509 to Teri Lea Jackson?
The Teri Lea Jackson received its 1700983509 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the Teri Lea Jackson's details last updated?
The information pertaining to the Teri Lea Jackson, including its address, specialty, and other details, was most recently updated on 2015-03-19.
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