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Jessie Raynae Jackson, RADT-I
Addiction (Substance Use Disorder) Counselor in Palm Springs, California
NPI 1467172973

Jessie Raynae Jackson is an Addiction (Substance Use Disorder) Counselor based in Rancho Mirage, CA and is specialized in Addiction (Substance Use Disorder). Jessie Raynae Jackson practices in Palm Springs, CA and has the professional credentials of RADT-I. The NPI Number for Jessie Raynae Jackson is 1467172973 and holds a License No. (California).

The current practice location address for Jessie Raynae Jackson is 1330 N Indian Canyon Dr, Palm Springs, CA and can be reached out via phone at 760-537-4779.

Location: 1330 N Indian Canyon Dr, Palm Springs, CA, 92270-2403
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Provider Profile Details
NPI Number
1467172973
Provider Name
Jessie Raynae Jackson
Credential
RADT-I
Provider Entity Type
Individual
Gender
Female
Address
1330 N Indian Canyon Dr, Palm Springs, CA, 92270-2403
Phone Number
760-537-4779
Fax Number
Provider Enumeration Date
09/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1452381221 01 CA REGISTERED ALCOHOL DRUG TECHNICIAN
institution
Provider Business Practice Location Address Details
Address
1330 N Indian Canyon Dr
City
State
Zip
92262-4880
Phone Number
760-537-4779
Fax Number
person
Provider Business Mailing Address Details
Address
1330 N Indian Canyon Dr
City
State
Zip
92262-4880
Phone Number
760-537-4779
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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