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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIAUNDRA JACKSON

Active Sole Proprietor

KIAUNDRA JACKSON is a Marriage & Family Therapist healthcare provider located in EL SEGUNDO, California. NPI 1275935983 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · EL SEGUNDO, CA

Registration Details

NPI Number
1275935983
Provider Type
Individual
Gender
Female
NPI Issued
Sep 24, 2014 (11.893088960996 yrs)
Last Updated
Mar 17, 2018
Licenses
IMF82357 (CA)
100193 (CA)
Sole Proprietor
Yes

Practice Information

Address
400 CONTINENTAL BLVD FL 6
EL SEGUNDO, CA, 902455074
Browse CA providers · Browse ZIP 90245
Phone
3107510389
Fax
3104262001
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in EL SEGUNDO, CA

Name Credential NPI
MS. VANESSA LETRICE BLAND MA, LMFT 1831207422
MRS. REBECCA GERBER KAHANE LMFT 1467547828
MS. MICHELLE LYNN FRYBACK MFT 1396893772
BRIAN MATTSON 1023153285
ELLEN KAINOMARIA ALBERTSON PH.D. 1104943679
MRS. YVETTE LEILA KRAISS M.A., LMFT 1174643696
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.