Ms Adriann M Jackson, is a
Counselor - Mental Health based in Corralitos, California. Ms Adriann M Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2716 Freedom Blvd, Corralitos, California. She can be reached at her office (for appointments etc.) via phone at
(831) 688-6293.
NPI number for Ms Adriann M Jackson is 1497971808 and her current mailing address is 2716 Freedom Blvd, Corralitos, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497971808.
Healthcare Provider's Profile
| Full Name | Ms Adriann M Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 2716 Freedom Blvd, Corralitos, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497971808
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 10/04/2011
Medical Identifiers
Medical identifiers for Ms Adriann M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497971808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Adriann M Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Adriann M Jackson,
2716 Freedom Blvd,
Corralitos, CA 95076-1027
Ph: (831) 688-6293 | Ms Adriann M Jackson,
2716 Freedom Blvd,
Corralitos, CA 95076-1027
Ph: (831) 688-6293 |
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