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Rudy Jackson JR.
Mental Health Counselor in Fresno, California
NPI 1881144152

Rudy Jackson JR. is a Mental Health Counselor based in Fresno, CA and is specialized in Mental Health. Rudy Jackson JR. practices in Fresno, CA. The NPI Number for Rudy Jackson JR. is 1881144152 and holds a License No. (California).

The current practice location address for Rudy Jackson JR. is 5738 W Fremont Ave, Fresno, CA and can be reached out via phone at 559-375-3040.

Location: 5738 W Fremont Ave, Fresno, CA, 93722-3044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881144152
Provider Name
Rudy Jackson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5738 W Fremont Ave, Fresno, CA, 93722-3044
Phone Number
559-375-3040
Fax Number
Provider Enumeration Date
10/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5738 W Fremont Ave
City
Fresno
State
California
Zip
93722-3044
Phone Number
559-375-3040
Fax Number
person
Provider Business Mailing Address Details
Address
5738 W Fremont Ave
City
Fresno
State
California
Zip
93722-3044
Phone Number
559-375-3040
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.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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