Individual provider · Type 1 NPI

Shyra D'ann Jackson

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1134635824 Active

Practice location

12960 San Pablo Ave
Richmond, CA 94805-1307

Call (510) 215-2280 Map

Fax (510) 215-2283

Mailing address

1901 Church Ln
San Pablo, CA 94806-3707

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12554-R (CA)

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

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About NPI 1134635824

Shyra D'ann Jackson's National Provider Identifier is 1134635824, issued on Dec 18, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Dec 18, 2017.