Individual provider · Type 1 NPI
Veronica L. Jackson
Addiction (Substance Use Disorder) Counselor · Long Beach, CA
NPI number
1245375617
Active
Practice location
6526 Walnut Ave
Long Beach, CA 90805-2533
Mailing address
2101 Magnolia Ave
Long Beach, CA 90806-4521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Rehabilitation Practitioner | 225400000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1463570322 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1245375617
Veronica L. Jackson's National Provider Identifier is 1245375617, issued on Feb 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Sep 29, 2026.