person
Shawana Jackson
Addiction (Substance Use Disorder) Counselor in Hawthorne, California
NPI 1659730414

Shawana Jackson is an Addiction (Substance Use Disorder) Counselor based in Hawthorne, CA and is specialized in Addiction (Substance Use Disorder). Shawana Jackson practices in Hawthorne, CA. The NPI Number for Shawana Jackson is 1659730414 and holds a License No. CAADE 5365-R (California).

The current practice location address for Shawana Jackson is 13715 Cordary Ave Apt 246, Hawthorne, CA and can be reached out via phone at 310-661-0441.

Location: 13715 Cordary Ave Apt 246, Hawthorne, CA, 90250-7419
person
Provider Profile Details
NPI Number
1659730414
Provider Name
Shawana Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
13715 Cordary Ave Apt 246, Hawthorne, CA, 90250-7419
Phone Number
310-661-0441
Fax Number
Provider Enumeration Date
02/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13715 Cordary Ave Apt 246
City
State
Zip
90250-7419
Phone Number
310-661-0441
Fax Number
person
Provider Business Mailing Address Details
Address
13715 Cordary Ave Apt 246
City
State
Zip
90250-7419
Phone Number
310-661-0441
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAADE 5365-R (California)
Definition
Definition to come...
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