Individual provider · Type 1 NPI

Bahati Jackson

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1447702196 Active

Practice location

7501 International Blvd
Oakland, CA 94621-2843

Call (510) 729-8800 Map

Fax (510) 569-4965

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 1447702196

Bahati Jackson's National Provider Identifier is 1447702196, issued on Oct 28, 2016. 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 Oct 28, 2016.