Individual provider · Type 1 NPI
Scott A. Jackson, CADC II
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1902278690
Active
Practice location
3148 Midway Dr # 113
San Diego, CA 92110-4539
Fax (619) 362-9905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CI4400615 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A040000816 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1902278690
Scott A. Jackson, CADC II's National Provider Identifier is 1902278690, issued on Oct 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Apr 17, 2025.