Individual provider · Type 1 NPI

Jackie Dispo

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1477700706 Active

Practice location

301 Georgia St
Vallejo, CA 94590-5946

Call (707) 558-8195 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 1477700706

Jackie Dispo's National Provider Identifier is 1477700706, issued on Aug 18, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Aug 18, 2008.