Stacie Jackson
Stacie Jackson is an Addiction (Substance Use Disorder) Counselor in Pomona, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
831 E Arrow HwyPomona, CA 91767-2535
Phone: (909) 398-4383
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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 R1494190123 (CA) |
|---|
Record details
| NPI number | 1073292306 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 13, 2023 |
| Last updated in NPPES | April 18, 2024 |
| Certification date | April 18, 2024 |
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