Individual provider · Type 1 NPI

Ann C. Jackson

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1992939508 Active

Practice location

333 S Central Ave
Los Angeles, CA 90013-1724

Mailing address

27 N Bonnie Ave
Pasadena, CA 91106-2101

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 1992939508

Ann C. Jackson's National Provider Identifier is 1992939508, issued on May 11, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 28, 2015.