NPI 1104258615

T Theresa Jackson, MTBC

Practitioner Music Therapist Roseville, CA

Practice location

Address: 1412 Oak Grove Dr, Roseville, CA 95747-7352
Phone: (916) 782-3467

Registered specialties

Music Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 08720 (CA)

Other Music Therapist providers in California →

Registry record

NPI: 1104258615
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2013
Record last updated: 7 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.