Jackie Jackson
Jackie Jackson is an Addiction (Substance Use Disorder) Counselor in Lompoc, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
604 W Ocean AveLompoc, CA 93436-6630
Phone: (805) 346-8185
Fax: (805) 346-8656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1356476501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 21, 2007 |
| Last updated in NPPES | August 12, 2009 |
| Mailing address | 619 E Cook St, Santa Maria, CA 93454-5750 |
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