Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA NAILAH MITCHELLE JACKSON
ActiveSAMANTHA NAILAH MITCHELLE JACKSON is a Mental Health Counselor healthcare provider located in CARSON, California. NPI 1720653603 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CARSON, CA
Registration Details
- NPI Number
- 1720653603
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2021 (5.2034597294456 yrs)
- Last Updated
- Aug 10, 2022
- Licenses
-
102031 (CA)ACSW102031 (CA)ACSW102031 (CA)
Practice Information
- Address
-
649 E ALBERTONI ST STE 100CARSON, CA, 907461538Browse CA providers · Browse ZIP 90746
- Phone
- 3104369300
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Social Worker
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in CARSON, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. BETTE BOYD | MFT | 1922100460 |
| MRS. EVELYN A. ANDALIS | RN | 1538208285 |
| MRS. CHRISTINE KEIKO OTA-CLEMONS | MS MFTI | 1427170042 |
| MICHELLE ANNQUNET PORTER | — | 1083800577 |
| AMAKO TANAKA | — | 1023266475 |
| MS. SARAH RUTH YU | — | 1922239482 |
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.