person
Ms. Michele Denise Jackson, RI-J0808181554
Addiction (Substance Use Disorder) Counselor in Oakland, California
NPI 1740411636

Michele Denise Jackson is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Michele Denise Jackson practices in Oakland, CA and has the professional credentials of RI-J0808181554. The NPI Number for Michele Denise Jackson is 1740411636 and holds a License No. RI-J808181554 (California).

The current practice location address for Michele Denise Jackson is 10700 Macarthur Blvd, Oakland, CA and can be reached out via phone at 510-568-2432 and via fax at 510-568-3912.

Location: 10700 Macarthur Blvd, Oakland, CA, 94605-5298
person
Provider Profile Details
NPI Number
1740411636
Provider Name
Michele Denise Jackson
Credential
RI-J0808181554
Provider Entity Type
Individual
Gender
Female
Address
10700 Macarthur Blvd, Oakland, CA, 94605-5298
Phone Number
510-568-2432
Fax Number
510-568-3912
Provider Enumeration Date
07/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
941702064 01 CA ALCOHOL AND OTHER DRUG
institution
Provider Business Practice Location Address Details
Address
10700 Macarthur Blvd
City
State
Zip
94605-5298
Phone Number
510-568-2432
Fax Number
510-568-3912
person
Provider Business Mailing Address Details
Address
10700 Macarthur Blvd
City
State
Zip
94605-5298
Phone Number
510-568-2432
Fax Number
510-568-3912
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RI-J808181554 (California)
Definition
Definition to come...
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