person
Jackie Dispo
Addiction (Substance Use Disorder) Counselor in Vallejo, California
NPI 1477700706

Jackie Dispo is an Addiction (Substance Use Disorder) Counselor based in Vallejo, CA and is specialized in Addiction (Substance Use Disorder). Jackie Dispo practices in Vallejo, CA. The NPI Number for Jackie Dispo is 1477700706 and holds a License No. (California).

The current practice location address for Jackie Dispo is 301 Georgia St, Vallejo, CA and can be reached out via phone at 707-558-8195.

Location: 301 Georgia St, Vallejo, CA, 94590-5946
person
Provider Profile Details
NPI Number
1477700706
Provider Name
Jackie Dispo
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 Georgia St, Vallejo, CA, 94590-5946
Phone Number
707-558-8195
Fax Number
Provider Enumeration Date
08/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Georgia St
City
State
Zip
94590-5946
Phone Number
707-558-8195
Fax Number
person
Provider Business Mailing Address Details
Address
301 Georgia St
City
State
Zip
94590-5946
Phone Number
707-558-8195
Fax Number
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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