Individual provider · Type 1 NPI

Lacena T. Jackson

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1265216097 Active

Practice location

2820 35th Ave Apt 9
Oakland, CA 94619-1100

Call (510) 706-7007 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 1265216097

Lacena T. Jackson's National Provider Identifier is 1265216097, issued on Aug 22, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Aug 22, 2023.