Individual provider · Type 1 NPI

Tina E. Jackson, RAS

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1881809291 Active

Practice location

1001 Grand Ave
Sacramento, CA 95838-3512

Mailing address

749 Calico Way
Oakley, CA 94561-3017

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC034980715 (CA)

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

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About NPI 1881809291

Tina E. Jackson, RAS's National Provider Identifier is 1881809291, issued on May 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Oct 26, 2021.