LYNETTE JACKSON

MODESTO, CA
NPI1154288256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  202030210947)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  202030210947)
171400000X Health & Wellness Coach
(Licence: CA  202030210947)
171W00000X Contractor
(Licence: CA  202030210947)
171M00000X Case Manager/Care Coordinator
(Licence: CA  202030210947)
174H00000X Health Educator
(Licence: CA  202030210947)
251E00000X Home Health
(Licence: CA  202030210947)
175L00000X Homeopath
(Licence: CA  202030210947)
251300000X Local Education Agency (LEA)
(Licence: CA  202030210947)
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: CA  202030210947)
251B00000X Case Management
(Licence: CA  202030210947)
Enumeration Date2026-01-08
Last Update Date2026-01-08
Business Address
LYNETTE JACKSON
2200 STANDIFORD AVE APT 126
MODESTO, CA 95350-6540
Phone number: 209-569-3351
Mailing Address
LYNETTE JACKSON
2200 STANDIFORD AVE APT 126
MODESTO, CA 95350-6540
Phone number: 209-569-3351