JACKIE JACKSON

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1356476501

Practice Address

604 W OCEAN AVE
Lompoc, CA 93436

Phone: (805) 346-8185

Specialties

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

Frequently Asked Questions

NPI 1356476501 is the National Provider Identifier for JACKIE JACKSON, a Counselor - Addiction (Substance Use Disorder) provider located in Lompoc, CA. This NPI was enumerated on February 21, 2007.
JACKIE JACKSON practices at 604 W OCEAN AVE, Lompoc, CA 93436.

Quick Facts

NPI
1356476501
Type
Individual
Enumerated
Feb 21, 2007
Last Updated
Aug 12, 2009

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