Gary D Jackson
Gary D Jackson is an Addiction (Substance Use Disorder) Counselor in El Monte, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
Practice location Address checks out
4610 Santa Anita Blvd Ste DEl Monte, CA 91731
Phone: (626) 453-3432
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 3055-R (CA) |
|---|
Record details
| NPI number | 1033462932 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 17, 2012 |
| Last updated in NPPES | October 17, 2012 |
| Mailing address | 1800 West Badillo #919, West Covina, CA 91790 |
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