Andre Price Jackson
Andre Price Jackson is an Addiction (Substance Use Disorder) Counselor in San Francisco, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 4
Practice location Address checks out
3450 3rd StSan Francisco, CA 94124-1443
Phone: (415) 437-3990
Fax: (415) 437-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 117677 (CA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1932695970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 2, 2018 |
| Last updated in NPPES | August 21, 2020 |
| Certification date | August 21, 2020 |
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