NICOLE C. JACKSON

OAKLAND, CA
NPI1033444708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW006567)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  77555)
Enumeration Date2009-10-13
Last Update Date2019-08-27
Business Address
NICOLE C. JACKSON LCSW
8750 MOUNTAIN BLVD BUILDING 69
OAKLAND, CA 94605-4500
Phone number: 510-777-5300
Mailing Address
NICOLE C. JACKSON LCSW
445 WINN WAY FL 4
DECATUR, GA 30030-1707
Phone number: 404-294-3745