Jackson, Jacqueline D.S.
Jackson, Jacqueline D.S. is an sole proprietor health care provider with primary practice located at 800 Menlo Ave #209, Menlo Park CA 94025-4750. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Jacqueline D.S. can be contacted via phone (650) 321-5206.Contact Information
Primary practice address
800 Menlo Ave #209
Menlo Park CA 94025-4750
Phone: (650) 321-5206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY8816 | California |
Profile Details
| NPI number | 1033268909 |
|---|---|
| LBN Legal business name | Jackson, Jacqueline D.S. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Popular Providers
-
Maramba, Gloria Juliana Kindt
795 Willow Rd Attn: Vapahcs Mental Health Clinic, Menlo Park CA 94025-2539 -
Cooper, Anne
200 Middlefield Rd Ste 100 , Menlo Park CA 94025-4003 -
Finn, Barbara
885 Oak Grove Ave Ste 301 Suite #301, Menlo Park CA 94025-4442 -
Agustin, Hildy Kellman
830 Menlo Ave Suite 105, Menlo Park CA 94025-4751 -
Fitzpatrick, Kathleen Kara
1220 University Dr , Menlo Park CA 94025-4262 -
Ney, Nicholas Hayes
200 Middlefield Rd Ste 100 , Menlo Park CA 94025-4003 -
Light, Susan Eileen
1187 University Dr , Menlo Park CA 94028 -
Garovoy, Natara
795 Willow Rd 116B-Mpd, Menlo Park CA 94025-2539