LARA JEANNE JACKSON

VISTA, CA
NPI1669186490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  360881)
Enumeration Date2023-01-06
Last Update Date2023-01-06
Business Address
LARA JEANNE JACKSON LMFT
1938 INTREPID WAY
VISTA, CA 92081-7037
Phone number: 760-419-6556
Mailing Address
LARA JEANNE JACKSON LMFT
1938 INTREPID WAY
VISTA, CA 92081-7037
Phone number: 760-419-6556
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