Individual provider · Type 1 NPI

Ruby Louise Jackson

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1114797735 Active

Practice location

2767 N Selland Ave
Fresno, CA 93722-5284

Call (559) 477-3428 Map

Specialties and licenses

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

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

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About NPI 1114797735

Ruby Louise Jackson's National Provider Identifier is 1114797735, issued on Jan 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 4, 2024.