Individual provider · Type 1 NPI

Toni Louise Jackson

Addiction (Substance Use Disorder) Counselor · East Palo Alto, CA

NPI number 1588053342 Active

Practice location

1796 Bay Rd
East Palo Alto, CA 94303-1611

Fax (650) 462-1055

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4912-R (CA)

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

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About NPI 1588053342

Toni Louise Jackson's National Provider Identifier is 1588053342, issued on Jan 16, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Palo Alto, CA. The record was last updated on Sep 21, 2015.