DIANE JACKSON

ROSEVILLE, CA
NPI1710096409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC34099)
Enumeration Date2006-08-29
Last Update Date2009-10-23
Business Address
-- DIANE JACKSON MFT
300 HARDING BLVD SUITE 109
ROSEVILLE, CA 95678-2470
Phone number: 916-772-3628
Mailing Address
-- DIANE JACKSON MFT
300 HARDING BLVD SUITE 109
ROSEVILLE, CA 95678-2470
Phone number: 916-772-3628
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