TIMOTHY JACKSON

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1124809363

Practice Address

2772 S MARTIN L KING JR BLVD
Fresno, CA 93706

Phone: (559) 265-4800

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 16460 (CA)

Frequently Asked Questions

NPI 1124809363 is the National Provider Identifier for TIMOTHY JACKSON, a Counselor - Addiction (Substance Use Disorder) provider located in Fresno, CA. This NPI was enumerated on October 12, 2023.
TIMOTHY JACKSON practices at 2772 S MARTIN L KING JR BLVD, Fresno, CA 93706.

Quick Facts

NPI
1124809363
Type
Individual
Enumerated
Oct 12, 2023
Last Updated
Oct 12, 2023

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