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James Fred Jackson
Addiction (Substance Use Disorder) Counselor in Redding, California
NPI 1275313223

James Fred Jackson is an Addiction (Substance Use Disorder) Counselor based in Round Mountain, CA and is specialized in Addiction (Substance Use Disorder). James Fred Jackson practices in Redding, CA. The NPI Number for James Fred Jackson is 1275313223 and holds a License No. (California).

The current practice location address for James Fred Jackson is 3590 El Portal Dr Apt 15, Redding, CA and can be reached out via phone at 530-722-1114 and via fax at 530-722-1115.

Location: 3590 El Portal Dr Apt 15, Redding, CA, 96084-0107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275313223
Provider Name
James Fred Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3590 El Portal Dr Apt 15, Redding, CA, 96084-0107
Phone Number
530-722-1114
Fax Number
530-722-1115
Provider Enumeration Date
10/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3590 El Portal Dr Apt 15
City
Redding
State
California
Zip
96002-3154
Phone Number
530-722-1114
Fax Number
530-722-1115
person
Provider Business Mailing Address Details
Address
3590 El Portal Dr Apt 15
City
Redding
State
California
Zip
96002-3154
Phone Number
530-722-1114
Fax Number
530-722-1115
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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