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Mr. Nathan Irex Jackson
Addiction (Substance Use Disorder) Counselor in Hayward, California
NPI 1649058561

Nathan Irex Jackson is an Addiction (Substance Use Disorder) Counselor based in Hayward, CA and is specialized in Addiction (Substance Use Disorder). Nathan Irex Jackson practices in Hayward, CA. The NPI Number for Nathan Irex Jackson is 1649058561 and holds a License No. 101YA0400X (California).

The current practice location address for Nathan Irex Jackson is 2575 Depot Rd, Hayward, CA and can be reached out via phone at 510-571-0666.

Location: 2575 Depot Rd, Hayward, CA, 94545-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649058561
Provider Name
Nathan Irex Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2575 Depot Rd, Hayward, CA, 94545-4607
Phone Number
510-571-0666
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2575 Depot Rd
City
Hayward
State
California
Zip
94545-2341
Phone Number
510-571-0666
Fax Number
person
Provider Business Mailing Address Details
Address
2575 Depot Rd
City
Hayward
State
California
Zip
94545-2341
Phone Number
510-571-0666
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.
101YA0400X (California)
Definition
Definition to come...
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