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Ms. Lacena T Jackson
Addiction (Substance Use Disorder) Counselor in Oakland, California
NPI 1265216097

Lacena T Jackson is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Lacena T Jackson practices in Oakland, CA. The NPI Number for Lacena T Jackson is 1265216097 and holds a License No. (California).

The current practice location address for Lacena T Jackson is 2820 35Th Ave Apt 9, Oakland, CA and can be reached out via phone at 510-706-7007.

Location: 2820 35Th Ave Apt 9, Oakland, CA, 94619-1100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265216097
Provider Name
Lacena T Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2820 35Th Ave Apt 9, Oakland, CA, 94619-1100
Phone Number
510-706-7007
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2820 35Th Ave Apt 9
City
Oakland
State
California
Zip
94619-1100
Phone Number
510-706-7007
Fax Number
person
Provider Business Mailing Address Details
Address
2820 35Th Ave Apt 9
City
Oakland
State
California
Zip
94619-1100
Phone Number
510-706-7007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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