LYNETTE JACKSON
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1154288256- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2200 STANDIFORD AVE APT 126, MODESTO, CA, 953506540
- Phone
- (209) 569-3351
- Fax
- (209) 290-3587
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
License: CA #202030210947
Health & Wellness Coach
License: CA #202030210947
Contractor
License: CA #202030210947
Case Manager/Care Coordinator
License: CA #202030210947
Health Educator
License: CA #202030210947
Home Health
License: CA #202030210947
Homeopath
License: CA #202030210947
Local Education Agency (LEA)
License: CA #202030210947
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
License: CA #202030210947
Case Management
License: CA #202030210947
Counselor, Mental Health
Primary License: CA #202030210947