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1356968739
MELISSA JACKSON
LODI, CA
NPI
1356968739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-07-01
Last Update Date
2024-04-10
Business Address
MELISSA JACKSON LMFT
1305 E VINE ST
LODI, CA 95240-3148
Phone number: 209-269-0938
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Mailing Address
MELISSA JACKSON LMFT
1830 SANCHEZ WAY
ESCALON, CA 95320-1535
Phone number: 209-701-8292
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