Individual provider · Type 1 NPI

Michele Denise Jackson, RI-J0808181554

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1740411636 Active

Practice location

10700 Macarthur Blvd, Ste 12
Oakland, CA 94605-5298

Call (510) 568-2432 Map

Fax (510) 568-3912

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-J808181554 (CA)

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

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About NPI 1740411636

Michele Denise Jackson, RI-J0808181554's National Provider Identifier is 1740411636, issued on Jul 27, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Jul 27, 2009.