Individual provider · Type 1 NPI
Jackie Fickes
Addiction (Substance Use Disorder) Counselor · Rodeo, CA
NPI number
1679973564
Active
Practice location
913 Hawthorne Dr
Rodeo, CA 94572-1709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1679973564
Jackie Fickes's National Provider Identifier is 1679973564, issued on Aug 27, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rodeo, CA. The record was last updated on Aug 27, 2014.