person
Ms. Toni Louise Jackson
Addiction (Substance Use Disorder) Counselor in East Palo Alto, California
NPI 1588053342

Toni Louise Jackson is an Addiction (Substance Use Disorder) Counselor based in East Palo Alto, CA and is specialized in Addiction (Substance Use Disorder). Toni Louise Jackson practices in East Palo Alto, CA. The NPI Number for Toni Louise Jackson is 1588053342 and holds a License No. 4912-R (California).

The current practice location address for Toni Louise Jackson is 1796 Bay Rd, East Palo Alto, CA and can be reached out via phone at 650-462-6999 and via fax at 650-462-1055.

Location: 1796 Bay Rd, East Palo Alto, CA, 94303-1611
person
Provider Profile Details
NPI Number
1588053342
Provider Name
Toni Louise Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1796 Bay Rd, East Palo Alto, CA, 94303-1611
Phone Number
650-462-6999
Fax Number
650-462-1055
Provider Enumeration Date
01/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1796 Bay Rd
City
State
Zip
94303-1611
Phone Number
650-462-6999
Fax Number
650-462-1055
person
Provider Business Mailing Address Details
Address
1796 Bay Rd
City
State
Zip
94303-1611
Phone Number
650-462-6999
Fax Number
650-462-1055
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4912-R (California)
Definition
Definition to come...
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