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1073233037
SOPHIA JACKSON
LONG BEACH, CA
NPI
1073233037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 129136)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
SOPHIA JACKSON AMFT
3950 LONG BEACH BLVD STE 101
LONG BEACH, CA 90807-5410
Phone number: 562-684-1300
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Mailing Address
SOPHIA JACKSON AMFT
3950 LONG BEACH BLVD STE 101
LONG BEACH, CA 90807-5410
Phone number:
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