Individual provider · Type 1 NPI

Jessie Raynae Jackson, RADT-I

Addiction (Substance Use Disorder) Counselor · Palm Springs, CA

NPI number 1467172973 Active

Practice location

1330 N Indian Canyon Dr
Palm Springs, CA 92262-4880

Call (760) 537-4779 Map

Mailing address

70340 Cobb Rd
Rancho Mirage, CA 92270-2403

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 1467172973

Jessie Raynae Jackson, RADT-I's National Provider Identifier is 1467172973, issued on Sep 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Palm Springs, CA. The record was last updated on Sep 2, 2022.