| Jill Michelle Jackson, MFT | |
|
8945 Golf Links Rd, Oakland, CA 94605-4124 | |
| (510) 317-1444 | |
| Not Available |
| Full Name | Jill Michelle Jackson |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 8945 Golf Links Rd, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154538981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 48173 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Michelle Jackson, MFT 4233 E 17th St, Oakland, CA 94601-4512 Ph: (415) 286-2047 | Jill Michelle Jackson, MFT 8945 Golf Links Rd, Oakland, CA 94605-4124 Ph: (510) 317-1444 |
Ms. Ha Le Cao, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 255 International Blvd, Oakland, CA 94606 Phone: 510-835-2777 | |
Antonia K Fokken, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 568 W Grand Ave, Oakland, CA 94612 Phone: 510-268-7332 Fax: 510-451-4703 | |
Mr. Timothy Clyde Dreby, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1211 Embarcadero, Suite 300, Oakland, CA 94606 Phone: 510-535-1409 Fax: 510-535-1414 | |
Mrs. Sara Louise Mckinnon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2540 Charleston St, Oakland, CA 94602 Phone: 510-220-2548 | |
Lauren Aiken, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6117 Martin Luther King Jr Way, Oakland, CA 94609 Phone: 510-655-4896 | |
Nicolette Nguyen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2501 Harrison St, Oakland, CA 94612 Phone: 510-444-3344 | |
Michael Erwin Clark Jr., Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2540 Charleston St, Oakland, CA 94602 Phone: 510-531-7551 |