TED JACKSON

CORONA, CA
NPI1487047072
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  102685)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-03-06
Last Update Date2017-10-27
Business Address
TED JACKSON
2275 S MAIN ST STE 201
CORONA, CA 92882-5303
Phone number: 951-279-3222
Mailing Address
TED JACKSON
141 N ARROWHEAD AVE
SAN BERNARDINO, CA 92408
Phone number: 909-963-5355