MISS SELENA JACKSON, BREININGINSTITUTE

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1386810208

Practice Address

390 N FORBES ST
Lakeport, CA 95453

Phone: (707) 994-5486

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes RI-J0803091809 (CA)
Counselor 101Y00000X No -
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1386810208 is the National Provider Identifier for MISS SELENA JACKSON, BREININGINSTITUTE, a Counselor - Addiction (Substance Use Disorder) provider located in Lakeport, CA. This NPI was enumerated on April 30, 2008.
MISS SELENA JACKSON, BREININGINSTITUTE practices at 390 N FORBES ST, Lakeport, CA 95453.

Quick Facts

NPI
1386810208
Type
Individual
Enumerated
Apr 30, 2008
Last Updated
May 2, 2017

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