person
Jackie Jackson
Addiction (Substance Use Disorder) Counselor in Lompoc, California
NPI 1356476501

Jackie Jackson is an Addiction (Substance Use Disorder) Counselor based in Santa Maria, CA and is specialized in Addiction (Substance Use Disorder). Jackie Jackson practices in Lompoc, CA. The NPI Number for Jackie Jackson is 1356476501 and holds a License No. (California).

The current practice location address for Jackie Jackson is 604 W Ocean Ave, Lompoc, CA and can be reached out via phone at 805-346-8185 and via fax at 805-346-8656.

Location: 604 W Ocean Ave, Lompoc, CA, 93454-5750
person
Provider Profile Details
NPI Number
1356476501
Provider Name
Jackie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
604 W Ocean Ave, Lompoc, CA, 93454-5750
Phone Number
805-346-8185
Fax Number
805-346-8656
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
604 W Ocean Ave
City
State
Zip
93436-6630
Phone Number
805-346-8185
Fax Number
805-346-8656
person
Provider Business Mailing Address Details
Address
604 W Ocean Ave
City
State
Zip
93436-6630
Phone Number
805-346-8185
Fax Number
805-346-8656
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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