Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CEDRIC JACKSON JR.
Active Sole ProprietorMR. CEDRIC JACKSON JR. is a Counselor healthcare provider located in KENTFIELD, California. NPI 1295426336 is currently active in the NPPES registry. Verify at CMS.
Counselor · KENTFIELD, CA
Registration Details
- NPI Number
- 1295426336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2023 (3.2581646585917 yrs)
- Last Updated
- Jun 13, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1109 SIR FRANCIS DRAKE BLVDKENTFIELD, CA, 949041418Browse CA providers · Browse ZIP 94904
- Phone
- 4152569995
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in KENTFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| RIKKI THOMAS | — | 1962600999 |
| LAURA TURNER | — | 1215115936 |
| MICHAEL JAMES CONSTANTINO | — | 1538488473 |
| MISS EMILY KATHRYN MCDONALD | — | 1538594825 |
| MS. MARY SHIRLEY | — | 1346627759 |
| DUSTIN JACOBSEN | — | 1003296195 |
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.