Individual provider · Type 1 NPI

Timothy Wayne Jackson

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1124809363 Active

Practice location

2772 S Martin L King Jr Blvd
Fresno, CA 93706-5345

Call (559) 265-4800 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16460 (CA)

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

24 other providers at this address

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About NPI 1124809363

Timothy Wayne Jackson's National Provider Identifier is 1124809363, issued on Oct 12, 2023. 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 Oct 12, 2023.