person
Governor Gilford Jackson
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1124297692

Governor Gilford Jackson is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Governor Gilford Jackson practices in Modesto, CA. The NPI Number for Governor Gilford Jackson is 1124297692 and holds a License No. (California).

The current practice location address for Governor Gilford Jackson is 1235 Mchenry Ave Ste A&B, Modesto, CA and can be reached out via phone at 209-527-4597.

Location: 1235 Mchenry Ave Ste A&B, Modesto, CA, 95350-5370
person
Provider Profile Details
NPI Number
1124297692
Provider Name
Governor Gilford Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1235 Mchenry Ave Ste A&B, Modesto, CA, 95350-5370
Phone Number
209-527-4597
Fax Number
Provider Enumeration Date
02/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1235 Mchenry Ave Ste A&B
City
State
Zip
95350-5370
Phone Number
209-527-4597
Fax Number
person
Provider Business Mailing Address Details
Address
1235 Mchenry Ave Ste A&B
City
State
Zip
95350-5370
Phone Number
209-527-4597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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