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Georgia Jackson, CATC
Addiction (Substance Use Disorder) Counselor in San Francisco, California
NPI 1285837088

Georgia Jackson is an Addiction (Substance Use Disorder) Counselor based in San Francisco, CA and is specialized in Addiction (Substance Use Disorder). Georgia Jackson practices in San Francisco, CA and has the professional credentials of CATC. The NPI Number for Georgia Jackson is 1285837088 and holds a License No. (California).

The current practice location address for Georgia Jackson is 1001 Potrero Ave, San Francisco, CA and can be reached out via phone at 415-206-6142 and via fax at 415-206-6875.

Location: 1001 Potrero Ave, San Francisco, CA, 94110-3518
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Provider Profile Details
NPI Number
1285837088
Provider Name
Georgia Jackson
Credential
CATC
Provider Entity Type
Individual
Gender
Female
Address
1001 Potrero Ave, San Francisco, CA, 94110-3518
Phone Number
415-206-6142
Fax Number
415-206-6875
Provider Enumeration Date
06/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31836 01 SFGH INTERNAL USE ONLY
31836 01 CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
1001 Potrero Ave
City
State
Zip
94110-3518
Phone Number
415-206-6142
Fax Number
415-206-6875
person
Provider Business Mailing Address Details
Address
1001 Potrero Ave
City
State
Zip
94110-3518
Phone Number
415-206-6142
Fax Number
415-206-6875
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
051192IV (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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