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

LARA JEANNE JACKSON, LMFT

Active Sole Proprietor

LARA JEANNE JACKSON, LMFT is a Marriage & Family Therapist healthcare provider located in VISTA, California. NPI 1669186490 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · VISTA, CA

Registration Details

NPI Number
1669186490
Provider Type
Individual
Gender
Female
NPI Issued
Jan 6, 2023 (3.618299136342 yrs)
Last Updated
Feb 17, 2025
License
136069 (CA)
Sole Proprietor
Yes

Practice Information

Address
1611 S MELROSE DR
STE A #280
VISTA, CA, 920817037
Browse CA providers · Browse ZIP 92081
Phone
7602303451
Fax
2096596382
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in VISTA, CA

Name Credential NPI
MR. JEFFREY WILLIAM SMITH MFT 1003831504
MS. JENNIFER LEWIS HOLLAND MS, LMFT 1134238223
AMY BARKER TRIMBLE M.A., LMFT 1598876542
MS. KRISTINA LUKOMSKI CASOLA MA 1396838660
MR. ELIHU GORETSKY MFT 1689767113
MS. MITRA SARKHOSH MFT 1811083918
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.