Individual provider · Type 1 NPI

Michael Jackson

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1760850192 Active

Practice location

815 Buena Vista Ave W
San Francisco, CA 94117-4108

Call (415) 554-1450 Map

Fax (415) 558-4235

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X154980I (CA)

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

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About NPI 1760850192

Michael Jackson's National Provider Identifier is 1760850192, issued on Sep 2, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Sep 2, 2015.