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

JOSEPH JACKSON

Active Sole Proprietor

JOSEPH JACKSON is a Peer Specialist healthcare provider located in GREENBRAE, California. NPI 1912386509 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · GREENBRAE, CA

Registration Details

NPI Number
1912386509
Provider Type
Individual
Gender
Male
NPI Issued
May 28, 2015 (11.250884231368 yrs)
Last Updated
Jul 13, 2023
Sole Proprietor
Yes

Practice Information

Address
250 BON AIR RD
GREENBRAE, CA, 949041702
Browse CA providers · Browse ZIP 94904
Phone
7073277784
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in GREENBRAE, CA

Name Credential NPI
HASANI MOORE 1235769258
KENNY JUNIOR RODRIGUEZ TRUJILLO 1003406810
MISS RUTH A GALVAN 1013676808
CHERISH ANN MARIE ANSANELLI 1295450476
JAMES HAIME 1265393615
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.