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Cherise Lee Jackson, CADC-I
Addiction (Substance Use Disorder) Counselor in Hollister, California
NPI 1336715085

Cherise Lee Jackson is an Addiction (Substance Use Disorder) Counselor based in Hollister, CA and is specialized in Addiction (Substance Use Disorder). Cherise Lee Jackson practices in Hollister, CA and has the professional credentials of CADC-I. The NPI Number for Cherise Lee Jackson is 1336715085 and holds a License No. CI35650522 (California).

The current practice location address for Cherise Lee Jackson is 335 6Th St, Hollister, CA and can be reached out via phone at 831-265-7317.

Location: 335 6Th St, Hollister, CA, 95023-3834
person
Provider Profile Details
NPI Number
1336715085
Provider Name
Cherise Lee Jackson
Credential
CADC-I
Provider Entity Type
Individual
Gender
Female
Address
335 6Th St, Hollister, CA, 95023-3834
Phone Number
831-265-7317
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1376770120 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
335 6Th St
City
State
Zip
95023-3834
Phone Number
831-265-7317
Fax Number
person
Provider Business Mailing Address Details
Address
335 6Th St
City
State
Zip
95023-3834
Phone Number
831-265-7317
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CI35650522 (California)
Definition
Definition to come...
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