Individual provider · Type 1 NPI
Issa Malene Jacko
Addiction (Substance Use Disorder) Counselor · Lancaster, CA
NPI number
1629589692
Active
Practice location
1012 E Avenue J # 358
Lancaster, CA 93535-3870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629589692
Issa Malene Jacko's National Provider Identifier is 1629589692, issued on Oct 18, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, CA. The record was last updated on Aug 25, 2026.