Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ronald Wayne Jackson, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922647346

Ronald Wayne Jackson, RADT is an Addiction (Substance Use Disorder) Counselor in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

939 N D St
San Bernardino, CA 92410-3519
Phone: (909) 889-6519
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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 · Licence R1367361019 (CA)
Prevention Professional Taxonomy 405300000X · Licence RADT78265 (CA)

Record details

NPI number1922647346
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorYes
NPI enumeratedJanuary 2, 2020
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022

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