Individual provider · Type 1 NPI

Lashan Jackson, RADI

Addiction (Substance Use Disorder) Counselor · Lancaster, CA

NPI number 1104358399 Active

Practice location

44459 10th St W
Lancaster, CA 93534-3324

Call (661) 726-2630 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1426890421 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104358399

Lashan Jackson, RADI's National Provider Identifier is 1104358399, issued on Mar 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, CA. The record was last updated on Dec 28, 2021.