Jackson, Dalonna Trenae

Jackson, Dalonna Trenae is an individual health care provider with primary practice located at 628 Montezuma St , Rio Vista CA 94571-1622. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Jackson, Dalonna Trenae can be contacted via phone (707) 374-5243.

Contact Information

Primary practice address
628 Montezuma St Rio Vista CA 94571-1622
Phone: (707) 374-5243
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1215508528
LBN Legal business name Jackson, Dalonna Trenae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2021
Last updated Jul 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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