person
Candyce S Jackson
Addiction (Substance Use Disorder) Counselor in Santa Monica, California
NPI 1528682390

Candyce S Jackson is an Addiction (Substance Use Disorder) Counselor based in Santa Monica, CA and is specialized in Addiction (Substance Use Disorder). Candyce S Jackson practices in Santa Monica, CA. The NPI Number for Candyce S Jackson is 1528682390 and holds a License No. (California).

The current practice location address for Candyce S Jackson is 909 Pico Blvd, Santa Monica, CA and can be reached out via phone at 310-314-6200.

Location: 909 Pico Blvd, Santa Monica, CA, 90405-1326
person
Provider Profile Details
NPI Number
1528682390
Provider Name
Candyce S Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
909 Pico Blvd, Santa Monica, CA, 90405-1326
Phone Number
310-314-6200
Fax Number
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
909 Pico Blvd
City
State
Zip
90405-1326
Phone Number
310-314-6200
Fax Number
person
Provider Business Mailing Address Details
Address
909 Pico Blvd
City
State
Zip
90405-1326
Phone Number
310-314-6200
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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