Individual provider · Type 1 NPI
Teresa Assata-Sanaa Jackson
Addiction (Substance Use Disorder) Counselor · Orange, CA
NPI number
1972256402
Active
Practice location
265 S Anita Dr
Orange, CA 92868-3355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972256402
Teresa Assata-Sanaa Jackson's National Provider Identifier is 1972256402, issued on Feb 3, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Orange, CA. The record was last updated on Apr 11, 2022.