Individual provider · Type 1 NPI

Shirley Jackson-Poordawood

Addiction (Substance Use Disorder) Counselor · Glendale, CA

NPI number 1891900734 Active

Practice location

4628 San Fernando Rd
Glendale, CA 91204-1822

Call (818) 240-8843 Map

Mailing address

10820 De Haven Ave
Hansen Hills, CA 91331-2009

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1891900734

Shirley Jackson-Poordawood's National Provider Identifier is 1891900734, issued on May 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendale, CA. The record was last updated on May 21, 2010.