person
Stanford Jackson, CATCII
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1154668671

Stanford Jackson is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). Stanford Jackson practices in Long Beach, CA and has the professional credentials of CATCII. The NPI Number for Stanford Jackson is 1154668671 and holds a License No. 123332 II (California).

The current practice location address for Stanford Jackson is 2008 Pacific Ave, Long Beach, CA and can be reached out via phone at 562-591-0011.

Location: 2008 Pacific Ave, Long Beach, CA, 90813-1823
person
Provider Profile Details
NPI Number
1154668671
Provider Name
Stanford Jackson
Credential
CATCII
Provider Entity Type
Individual
Gender
Male
Address
2008 Pacific Ave, Long Beach, CA, 90813-1823
Phone Number
562-591-0011
Fax Number
Provider Enumeration Date
01/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2008 Pacific Ave
City
State
Zip
90806-4610
Phone Number
562-591-0011
Fax Number
person
Provider Business Mailing Address Details
Address
2008 Pacific Ave
City
State
Zip
90806-4610
Phone Number
562-591-0011
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
123332 II (California)
Definition
Definition to come...
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