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Janae Jackson
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1558917054

Janae Jackson is an Addiction (Substance Use Disorder) Counselor based in Irvine, CA and is specialized in Addiction (Substance Use Disorder). Janae Jackson practices in Fresno, CA. The NPI Number for Janae Jackson is 1558917054 and holds a License No. R1465480422 (California).

The current practice location address for Janae Jackson is 3707 E Shields Ave, Fresno, CA and can be reached out via phone at 559-229-9040.

Location: 3707 E Shields Ave, Fresno, CA, 92606-2417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558917054
Provider Name
Janae Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3707 E Shields Ave, Fresno, CA, 92606-2417
Phone Number
559-229-9040
Fax Number
Provider Enumeration Date
08/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1465480422 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
3707 E Shields Ave
City
Fresno
State
California
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
person
Provider Business Mailing Address Details
Address
3707 E Shields Ave
City
Fresno
State
California
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1465480422 (California)
Definition
Definition to come...
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