MICHELLE LORRAINE JACKSON

SANTA ROSA, CA
NPI1083021968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: CA  ASW59973)
Additional Taxonomies1041C0700X Social Worker Clinical
(Licence: CA  ASW59973)
Enumeration Date2014-07-13
Last Update Date2015-05-18
Business Address
MS. MICHELLE LORRAINE JACKSON ASW
1421 GUERNEVILLE RD STE 218
SANTA ROSA, CA 95403-7255
Phone number: 707-576-7700
Mailing Address
MS. MICHELLE LORRAINE JACKSON ASW
1421 GUERNEVILLE RD
SANTA ROSA, CA 95403-7220
Phone number: 707-576-7700