| Ms Diana Jackson, | |
|
19 E 6th St, Tracy, CA 95376-4107 | |
| (209) 956-4240 | |
| (209) 956-4245 |
| Full Name | Ms Diana Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 19 E 6th St, Tracy, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942423959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMF 42420 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Diana Jackson, 15555 Warfield Rd, Lathrop, CA 95330-9492 Ph: (209) 612-5752 | Ms Diana Jackson, 19 E 6th St, Tracy, CA 95376-4107 Ph: (209) 956-4240 |
Mr. John Eugene Oliveira Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 Sequoia Blvd, Tracy, CA 95376 Phone: 916-847-2026 | |
Cody Jean, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2655 Henley Pkwy Unit 7722, Tracy, CA 95377 Phone: 678-789-6109 | |
Taylor Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23500 Kasson Rd, Tracy, CA 95304 Phone: 209-835-4141 | |
Torey Nicole Collins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 E 10th St Ste I, Tracy, CA 95376 Phone: 209-666-1003 | |
Zachary Estrada, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 Gardenia Court, Tracy, CA 95376 Phone: 760-600-0396 | |
Sam Mussallam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 524 Presidio Pl, Tracy, CA 95377 Phone: 209-237-7105 | |
Mrs. Lauraine Mildred Fogarty, RADT-1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Gianelli St, Tracy, CA 95376 Phone: 510-329-6153 Fax: 209-834-8674 |