Jackson, Shelli

Jackson, Shelli is an individual health care provider with primary practice located at 979 Woodland Pkwy Ste 101-48 , San Marcos CA 92069-2220. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jackson, Shelli can be contacted via phone (760) 505-6665.

Contact Information

Primary practice address
979 Woodland Pkwy Ste 101-48 San Marcos CA 92069-2220
Phone: (760) 505-6665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32087 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 32087 California
Behavioral Health & Social Service Providers / Health 103TH0004X 32087 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 32087 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32087 California

Profile Details

NPI number 1326492026
LBN Legal business name Jackson, Shelli
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2016
Last updated Sep 27th, 2020 - about 4 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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