Individual provider · Type 1 NPI
Rudy Jackson Jr.
Mental Health Counselor · Fresno, CA
NPI number
1881144152
Active
Practice location
5738 W Fremont Ave
Fresno, CA 93722-3044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1881144152
Rudy Jackson Jr.'s National Provider Identifier is 1881144152, issued on Oct 10, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fresno, CA. The record was last updated on Oct 10, 2016.