Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TED JACKSON
Active Sole ProprietorTED JACKSON is a Marriage & Family Therapist healthcare provider located in CORONA, California. NPI 1487047072 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · CORONA, CA
Registration Details
- NPI Number
- 1487047072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2015 (11.455945033229 yrs)
- Last Updated
- Oct 27, 2017
- License
-
102685 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2275 S MAIN ST STE 201CORONA, CA, 928825303Browse CA providers · Browse ZIP 92882
- Phone
- 9512793222
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in CORONA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. ALEJANDRINA FLORES BURRELL | LMFT | 1659350841 |
| ELAINE MARIE HARRIS | MFT | 1487603544 |
| MRS. MARLYNE DIANE ROBERTS | L.M.F.T. | 1073552899 |
| MR. RANDALL B DAVIS | LMFT | 1124054119 |
| DOROTHEA JEANNETTE VANLEEUWEN | MA LMFT | 1184657934 |
| SHELLEY ELIZABETH ROSSI | M.A. | 1679507842 |
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.