person
Mr. Anthony Jackson
Addiction (Substance Use Disorder) Counselor in Sacramento, California
NPI 1245307073

Anthony Jackson is an Addiction (Substance Use Disorder) Counselor based in Sacramento, CA and is specialized in Addiction (Substance Use Disorder). Anthony Jackson practices in Sacramento, CA. The NPI Number for Anthony Jackson is 1245307073 and holds a License No. 5076 (California).

The current practice location address for Anthony Jackson is 2237 River Plaza Dr, Sacramento, CA and can be reached out via phone at 916-391-4293 and via fax at 916-391-4247.

Location: 2237 River Plaza Dr, Sacramento, CA, 95833-3836
person
Provider Profile Details
NPI Number
1245307073
Provider Name
Anthony Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2237 River Plaza Dr, Sacramento, CA, 95833-3836
Phone Number
916-391-4293
Fax Number
916-391-4247
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5076 01 CA CAARR
institution
Provider Business Practice Location Address Details
Address
2237 River Plaza Dr
City
State
Zip
95833-3836
Phone Number
916-391-4293
Fax Number
916-391-4247
person
Provider Business Mailing Address Details
Address
2237 River Plaza Dr
City
State
Zip
95833-3836
Phone Number
916-391-4293
Fax Number
916-391-4247
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5076 (California)
Definition
Definition to come...
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