WANDA MERCEDES JACKSON

NPI: 1497287338 · Individual · Active

Primary Specialty

Counselor

Practice Location

1069 BROADWAY AVE STE 201
SEASIDE, CA 93955-4995 Map ↗
Phone: 831-392-1500

Mailing Address

1069 BROADWAY AVE
SEASIDE, CA 93955-4996 Map ↗
Phone: 831-392-1500
Fax: 831-392-1501

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Counselor Primary

NPI Registration

Enumerated: 2017-03-30

Last CMS Update: 2017-03-30