Individual provider · Type 1 NPI

Darlene Jackson

Addiction (Substance Use Disorder) Counselor · Lemon Grove, CA

NPI number 1679114490 Active

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

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 1679114490

Darlene Jackson's National Provider Identifier is 1679114490, issued on Oct 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lemon Grove, CA. The record was last updated on Oct 2, 2019.