COLLEEN C JACKSON

SANTA ROSA, CA
NPI1891137444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  84465)
Enumeration Date2013-07-24
Last Update Date2025-05-01
Business Address
COLLEEN C JACKSON
2350 PROFESSIONAL DR
SANTA ROSA, CA 95403-3018
Phone number: 707-565-7479
Mailing Address
COLLEEN C JACKSON
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405-7575
Phone number: 707-565-7479