| Silent Hills Family Therapist Corporatiom | |
|
2955 Shattuck Ave Ste 2955 Berkeley CA 94705-1808 | |
| (925) 426-4729 | |
| Not Available |
| Full Name | Silent Hills Family Therapist Corporatiom |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 2955 Shattuck Ave Ste 2955, Berkeley, California |
| Authorized Official Name and Position | Nancy Jo Jackson (LMFT) |
| Authorized Official Contact | 9254264729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silent Hills Family Therapist Corporatiom Po Box 5536 Berkeley CA 94705-0536 Ph: (925) 426-4729 | Silent Hills Family Therapist Corporatiom 2955 Shattuck Ave Ste 2955 Berkeley CA 94705-1808 Ph: (925) 426-4729 |
| NPI Number | 1548033590 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548033590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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