THEOPIA RENEE JACKSON

OAKLAND, CA
NPI1295929420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY15699)
Enumeration Date2007-08-30
Last Update Date2007-08-30
Business Address
Dr. THEOPIA RENEE JACKSON PhD
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-4893
Mailing Address
Dr. THEOPIA RENEE JACKSON PhD
747 FIFTY SECOND ST.
OAKLAND, CA 94609-1809
Phone number: 510-428-4893