ANNE ELIZABETH JACKSON

SANTA ROSA, CA
NPI1619127537
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY17785)
Additional Taxonomies103T00000X Psychologist
(Licence: CA  PSY17785)
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: CA  PSY17785)
Enumeration Date2008-09-27
Last Update Date2017-02-06
Business Address
Dr. ANNE ELIZABETH JACKSON Ph.D.
1101 COLLEGE AVE STE 230
SANTA ROSA, CA 95404-3956
Phone number: 650-444-3260
Mailing Address
Dr. ANNE ELIZABETH JACKSON Ph.D.
712 BANCROFT RD # 771
WALNUT CREEK, CA 94598-1531
Phone number: 650-444-3260