Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOUVENIA C JACKSON
ActiveArt Therapist · REDWOOD CITY, CA
Registration Details
- NPI Number
- 1932322252
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2007 (19.030425537439 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
400 EDMONDS RDREDWOOD CITY, CA, 940623803Browse CA providers · Browse ZIP 94062
- Phone
- 6503415247
- Primary Specialty
-
Art Therapist
221700000X
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.