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Ronald Wayne Jackson, RADT
Prevention Professional in San Bernardino, California
NPI 1922647346

Ronald Wayne Jackson is a Prevention Professional based in San Bernardino, CA. Ronald Wayne Jackson practices in San Bernardino, CA and has the professional credentials of RADT. The NPI Number for Ronald Wayne Jackson is 1922647346 and holds a License No. R1367361019 (California).

The current practice location address for Ronald Wayne Jackson is 939 N D St, San Bernardino, CA and can be reached out via phone at 909-889-6519. You can also correspond with Ronald Wayne Jackson through the mailing address at 939 N D ST, SAN BERNARDINO, CA - 92410-3519 (mailing address contact number: 909-932-1069).

Location: 939 N D St, San Bernardino, CA, 92410-3519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922647346
Provider Name
Ronald Wayne Jackson
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
939 N D St, San Bernardino, CA, 92410-3519
Phone Number
909-889-6519
Fax Number
Provider Enumeration Date
01/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
939 N D St
City
San Bernardino
State
California
Zip
92410-3519
Phone Number
909-889-6519
Fax Number
person
Provider Business Mailing Address Details
Address
939 N D St
City
San Bernardino
State
California
Zip
92410-3519
Phone Number
909-889-6519
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.
RADT78265 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Prevention Professional
Speciality
-
Taxonomy
405300000X
License No.
R1367361019 (California)
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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