Jackson, Tekesia Marie

Jackson, Tekesia Marie is an individual health care provider with primary practice located at 18000 Studebaker Rd Suite 700, Cerritos CA 90703-2679. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Tekesia Marie can be contacted via phone (310) 619-4699.

Contact Information

Primary practice address
18000 Studebaker Rd Suite 700 Cerritos CA 90703-2679
Phone: (310) 619-4699
Fax: (310) 935-4557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24968 California

Profile Details

NPI number 1457418055
LBN Legal business name Jackson, Tekesia Marie
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Apr 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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