Individual provider · Type 1 NPI
Conswaila Jackson, CADCII
Addiction (Substance Use Disorder) Counselor · Torrance, CA
NPI number
1265563258
Active
Practice location
21730 S Vermont Ave Ste 210
Torrance, CA 90502-2196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner | 225400000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A2008005 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1265563258
Conswaila Jackson, CADCII's National Provider Identifier is 1265563258, issued on Mar 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Torrance, CA. The record was last updated on Jun 8, 2023.