person
Frederick Jackson
Addiction (Substance Use Disorder) Counselor in Concord, California
NPI 1225574759

Frederick Jackson is an Addiction (Substance Use Disorder) Counselor based in Concord, CA and is specialized in Addiction (Substance Use Disorder). Frederick Jackson practices in Concord, CA. The NPI Number for Frederick Jackson is 1225574759 and holds a License No. R1239870916 (California).

The current practice location address for Frederick Jackson is 2090 Commerce Ave, Concord, CA and can be reached out via phone at 925-676-2580 and via fax at 925-798-3359.

Location: 2090 Commerce Ave, Concord, CA, 94520-4902
person
Provider Profile Details
NPI Number
1225574759
Provider Name
Frederick Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2090 Commerce Ave, Concord, CA, 94520-4902
Phone Number
925-676-2580
Fax Number
925-798-3359
Provider Enumeration Date
01/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1239870916 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
2090 Commerce Ave
City
State
Zip
94520-4902
Phone Number
925-676-2580
Fax Number
925-798-3359
person
Provider Business Mailing Address Details
Address
2090 Commerce Ave
City
State
Zip
94520-4902
Phone Number
925-676-2580
Fax Number
925-798-3359
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1239870916 (California)
Definition
Definition to come...
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