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1376865063
ELLA JACKSON
SEBASTOPOL, CA
NPI
1376865063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 49765)
Enumeration Date
2010-02-22
Last Update Date
2024-02-26
Business Address
ELLA JACKSON LMFT
120 PLEASANT HILL AVE N STE 220-I
SEBASTOPOL, CA 95472-3164
Phone number: 310-701-1371
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Mailing Address
ELLA JACKSON LMFT
444 MACKLYN AVE
SANTA ROSA, CA 95405-4541
Phone number: 310-701-1371
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