Individual provider · Type 1 NPI

Suzanne Marie Jackson

Addiction (Substance Use Disorder) Counselor · Los Alamitos, CA

NPI number 1619523982 Active

Practice location

4388 Katella Ave
Los Alamitos, CA 90720-3565

Fax (562) 596-0058

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 1619523982

Suzanne Marie Jackson's National Provider Identifier is 1619523982, issued on Aug 13, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Alamitos, CA. The record was last updated on Aug 13, 2019.