Individual provider · Type 1 NPI

Crystal Amber Jackson

Addiction (Substance Use Disorder) Counselor · Santa Maria, CA

NPI number 1821729880 Active

Practice location

412 E Tunnell St
Santa Maria, CA 93454-4146

Call (805) 925-0315 Map

Mailing address

135 Carmen Ln
Santa Maria, CA 93458-7729

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1452921221 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15788-RAC (CA)

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

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About NPI 1821729880

Crystal Amber Jackson's National Provider Identifier is 1821729880, issued on Jun 21, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Maria, CA. The record was last updated on Feb 7, 2023.