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Ms. Alycia Jackson
Addiction (Substance Use Disorder) Counselor in San Bernardino, California
NPI 1326469123

Alycia Jackson is an Addiction (Substance Use Disorder) Counselor based in San Bernardino, CA and is specialized in Addiction (Substance Use Disorder). Alycia Jackson practices in San Bernardino, CA. The NPI Number for Alycia Jackson is 1326469123 and holds a License No. (California).

The current practice location address for Alycia Jackson is 1963 N E St, San Bernardino, CA and can be reached out via phone at 909-881-6146 and via fax at 909-881-0111.

Location: 1963 N E St, San Bernardino, CA, 92405-3919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326469123
Provider Name
Alycia Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1963 N E St, San Bernardino, CA, 92405-3919
Phone Number
909-881-6146
Fax Number
909-881-0111
Provider Enumeration Date
12/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1963 N E St
City
San Bernardino
State
California
Zip
92405-3919
Phone Number
909-881-6146
Fax Number
909-881-0111
person
Provider Business Mailing Address Details
Address
1963 N E St
City
San Bernardino
State
California
Zip
92405-3919
Phone Number
909-881-6146
Fax Number
909-881-0111
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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