person
Gary D Jackson
Addiction (Substance Use Disorder) Counselor in El Monte, California
NPI 1033462932

Gary D Jackson is an Addiction (Substance Use Disorder) Counselor based in West Covina, CA and is specialized in Addiction (Substance Use Disorder). Gary D Jackson practices in El Monte, CA. The NPI Number for Gary D Jackson is 1033462932 and holds a License No. 3055-R (California).

The current practice location address for Gary D Jackson is 4610 Santa Anita Blvd, Suite D, El Monte, CA and can be reached out via phone at 626-453-3432.

Location: 4610 Santa Anita Blvd, Suite D, El Monte, CA, 91790
person
Provider Profile Details
NPI Number
1033462932
Provider Name
Gary D Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4610 Santa Anita Blvd, Suite D, El Monte, CA, 91790
Phone Number
626-453-3432
Fax Number
Provider Enumeration Date
10/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4610 Santa Anita Blvd, Suite D
City
State
Zip
91731
Phone Number
626-453-3432
Fax Number
person
Provider Business Mailing Address Details
Address
4610 Santa Anita Blvd, Suite D
City
State
Zip
91731
Phone Number
626-453-3432
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3055-R (California)
Definition
Definition to come...
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