Individual provider · Type 1 NPI

Jackie Jackson

Addiction (Substance Use Disorder) Counselor · Lompoc, CA

NPI number 1356476501 Active

Practice location

604 W Ocean Ave
Lompoc, CA 93436-6630

Call (805) 346-8185 Map

Fax (805) 346-8656

Mailing address

619 E Cook St
Santa Maria, CA 93454-5750

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

16 other providers at this address

Other addiction (substance use disorder) counselor providers in Lompoc

See all in Lompoc →

About NPI 1356476501

Jackie Jackson's National Provider Identifier is 1356476501, issued on Feb 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lompoc, CA. The record was last updated on Aug 12, 2009.