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NPI Code Detail

MEDICARE: CYNTHIA KAY JACKSON-BURNS

MEDICARE: CYNTHIA KAY JACKSON-BURNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1629955315
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA KAY JACKSON-BURNS
Provider Business Mailing Address
First Line : 8080 HANSOM DR
Second Line :
City : OAKLAND
State : CA
Zip : 94605-4209
Country : US
Telephone Number : 510-866-9287
Fax Number :
Provider Business Practice Location Address
First Line : 2181 TICE VALLEY BLVD
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94595-2505
Country : US
Telephone Number : 510-866-9287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2025
Last Update Date : 08/16/2025

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Directions to “ CYNTHIA KAY JACKSON-BURNS ” Practice Location

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