Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLENE MARIE JACKSON
ActiveCHARLENE MARIE JACKSON is a Behavioral Health Technician healthcare provider located in MODESTO, California. NPI 1245419472 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health Technician · MODESTO, CA
Registration Details
- NPI Number
- 1245419472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2007 (18.659565539092 yrs)
- Last Updated
- Nov 6, 2012
Practice Information
- Address
-
800 SCENIC DRMODESTO, CA, 953506131Browse CA providers · Browse ZIP 95350
- Phone
- 2095256150
- Primary Specialty
-
Behavioral Health Technician
374700000X
Other Behavioral Health Technician Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. WANDA LEE TOOMEY | MA PSYCHOLOGY | 1558492538 |
| HILDA COTINO | — | 1255511390 |
| JUAN JOSE VALENZUELA | — | 1215118013 |
| MONICA DIANE MACKINNON | — | 1043656242 |
| JESSICA NICOLE VAN TUINEN | — | 1174920607 |
| SANDRA HARRINGTON | — | 1184013658 |
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.