TATIANA JACKSON

STOCKTON, CA
NPI1285266171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
175T00000X Peer Specialist
Enumeration Date2020-02-07
Last Update Date2024-01-08
Business Address
TATIANA JACKSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8786
Mailing Address
TATIANA JACKSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8786