Individual provider · Type 1 NPI

Ronald Wayne Jackson, RADT

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1922647346 Active

Practice location

939 N D St
San Bernardino, CA 92410-3519

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1367361019 (CA)
Prevention Professional 405300000XRADT78265 (CA)

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

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About NPI 1922647346

Ronald Wayne Jackson, RADT's National Provider Identifier is 1922647346, issued on Jan 2, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Feb 22, 2022.