MRS. DEBRA ERICSON JACKSON (NPI# 1962776054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962776054 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA ERICSON JACKSON |
| Practice Address |
1669 N E St San Bernardino CA 92405-4405 |
| Practice Telephone | 9098866737 |
| Mailing Telephone | 9098866737 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT INTERN 51888 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214464 | Debra Jackson | Technician | 148 Little Shady Ln, Harpers Ferry, WV 25425-6644 | 2020-10-27 |
| 1376193912 | Debra Jackson | Doula | 47 Birch St, Hiram, GA 30141-4128 | 2019-09-16 |
| 1881139947 | Debra Jackson | Occupational Therapy Assistant | 13129 Elmdale St, Detroit, MI 48213-1900 | 2016-12-28 |
| 1295033322 | Debra Jackson | Licensed Practical Nurse | 1625 E 54th St, Brooklyn, NY 11234-3919 | 2011-03-14 |
| 1376676841 | Debra E Jackson | Nurse Practitioner | 8730 4th St N, St Petersburg, FL 33702-3106 | 2007-03-14 |
| 1245282904 | Debra Marlene Jackson | Speech-Language Pathologist | 1219 Troy Rd, Edwardsville, IL 62025-2363 | 2006-05-17 |
| 1376029280 | Debra Ann Jackson | Chiropractor | 8183 Kipling St, Pensacola, FL 32514-7441 | 2018-07-13 |
| 1710320320 | Debra A Jackson | Licensed Practical Nurse | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2013-04-12 |
| 1033462882 | Debra Lynn Jackson | Counselor | 705 S Court St, Visalia, CA 93277-2727 | 2012-10-17 |
| 1477769651 | Debra Lynn Jackson | Psychologist | 1892 Willamette St, Eugene, OR 97401-4404 | 2007-05-15 |
| Street Address |
1669 N E ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92405-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982739850 | Sue Carol Krenz | Counselor | 1669 N E St, San Bernardino, San Bernardino, CA 92405-4405 | 2007-02-22 |
| 1194214908 | Stacy Hutchins | Marriage & Family Therapist | 1669 N E St, San Bernardino, CA 92405-4405 | 2018-05-07 |
| 1073021275 | Mariana Alvarado | Case Manager/Care Coordinator | 1669 N E St, San Bernardino, CA 92405-4405 | 2018-01-22 |
| 1083015952 | Ludenia Coles | Student in an Organized Health Care Education/Training Program | 1669 N E St, San Bernardino, CA 92405-4405 | 2014-09-10 |
| 1477989432 | Christopher Opliger | Counselor | 1669 N E St, San Bernardino, CA 92405-4405 | 2013-09-23 |
| 1336575380 | Katherine Clair Tristan | Counselor | 1669 N E St, San Bernardino, CA 92405-4405 | 2013-09-23 |
| 1023443439 | Christie Annette Mettlen | Social Worker | 1669 N E St, San Bernardino, CA 92405-4405 | 2013-09-05 |
| 1306282728 | Richard Alan Barr Jr. | Social Worker | 1669 N E St, San Bernardino, CA 92405-4405 | 2013-05-13 |
| 1891047171 | Tina Latrice Johnson Hollman | Social Worker | 1669 N E St, San Bernardino, CA 92405-4405 | 2012-10-10 |
| 1306196381 | Jennifer Adel Farag | Marriage & Family Therapist | 1669 N E St, San Bernardino, CA 92405-4405 | 2012-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174177497 | New Hope Transitional Living | Clinical Nurse Specialist | 1228 West 31st, San Bernardino, CA 92405 | 2019-07-25 |
| 1336647494 | Paul J Iorio | Counselor | 1669 Norht E Street, San Bernardino, CA 92405 | 2018-01-24 |
| 1609385756 | Abraham Isacc Gonzalez | Registered Nurse | 255 W 17th St, San Bernardino, CA 92405 | 2017-09-20 |
| 1962945675 | Ann Marie Monica Clark | Assisted Living Facility | 3524 Acacia Avenue, San Bernardino, CA 92405 | 2016-11-29 |
| 1801265715 | Leslie Del Toro | Counselor | 2025 N D St, San Bernardino, CA 92405 | 2015-09-21 |
| 1558797324 | Nora Escobar-mandujano | Marriage & Family Therapist | 1441 North 'd' Street, San Bernardino, CA 92405 | 2013-09-24 |
| 1295088284 | Elizabeth Rocha | Counselor | 1669 North E Street, San Bernardino, CA 92405 | 2012-10-16 |
| 1972855237 | Vanessa Kelly Gutierrez | Marriage & Family Therapist | 1669 N E Street, San Bernardino, CA 92405 | 2012-10-11 |
| 1952664021 | Mosley Counseling Center, LLC | Counselor | 2130 W. Arrowhead Ave., Suite 103c, San Bernardino, CA 92405 | 2012-06-22 |
| 1508167602 | Al Shifa Clinic Incorporated | Voluntary or Charitable | 2334 North Sierra Way, San Bernardino, CA 92405 | 2010-11-06 |
| Find all providers in zip 92405 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031886 | Sarah Lynne Beaver | Marriage & Family Therapist | 1314 E Date St, San Bernardino, CA 92404-4234 | 2020-07-28 |
| 1437772316 | Irene Dean Reynosa | Marriage & Family Therapist | 5182 Sundance Dr, San Bernardino, CA 92407-2994 | 2020-05-26 |
| 1396384442 | Jeffrey Boyd Inc. | Marriage & Family Therapist | 409 W 17th St, San Bernardino, CA 92405-4413 | 2020-01-06 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1215409727 | Mariela Aguilera Medrano | Marriage & Family Therapist | 766 N Waterman Ave, San Bernardino, CA 92410-4435 | 2018-12-21 |
| 1083196166 | Lobban Marriage and Family Therapy Inc | Marriage & Family Therapist | 473 E. Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2018-09-05 |
| 1932699980 | Christiana Schenck | Marriage & Family Therapist | 720 East Gilbert Street, San Bernardino, CA 92415-0001 | 2018-05-15 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92405 |
Please comment or provide details below to improve the information on MRS. DEBRA ERICSON JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.