Individual provider · Type 1 NPI

Evanne Bree Jackson

Addiction (Substance Use Disorder) Counselor · Pomona, CA

NPI number 1619506029 Active

Practice location

831 E Arrow Hwy
Pomona, CA 91767-2535

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1368641019 (CA)

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

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About NPI 1619506029

Evanne Bree Jackson's National Provider Identifier is 1619506029, issued on Apr 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pomona, CA. The record was last updated on Apr 7, 2020.