Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE JACKSON, MFT
Active Sole ProprietorDIANE JACKSON, MFT is a Marriage & Family Therapist healthcare provider located in ROSEVILLE, California. NPI 1710096409 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · ROSEVILLE, CA
Registration Details
- NPI Number
- 1710096409
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2006 (19.986886987243 yrs)
- Last Updated
- Oct 23, 2009
- License
-
MFC34099 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 HARDING BLVDSUITE 109ROSEVILLE, CA, 956782470Browse CA providers · Browse ZIP 95678
- Phone
- 9167723628
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICIA ANN VLASAK | LMFT | 1205872025 |
| DR. CHRISTINE A. VOLKER | PH.D. | 1730119892 |
| MR. STEVE MCCREADY | MA, MFT | 1720011976 |
| MS. BONNIE BEAU BLUE | MFT | 1902825466 |
| PHIL BLUEMEL | M.A., LMFT | 1356362867 |
| EDNA YANG | — | 1467469916 |
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.