Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
T THERESA JACKSON, MT-BC
Active Sole ProprietorT THERESA JACKSON, MT-BC is a Music Therapist healthcare provider located in ROSEVILLE, California. NPI 1104258615 is currently active in the NPPES registry. Verify at CMS.
Music Therapist · ROSEVILLE, CA
Registration Details
- NPI Number
- 1104258615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2013 (12.976998955667 yrs)
- Last Updated
- Aug 7, 2013
- License
-
08720 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1412 OAK GROVE DRROSEVILLE, CA, 957477352Browse CA providers · Browse ZIP 95747
- Phone
- 9167823467
- Primary Specialty
-
Music Therapist
225A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.