Stanford Jackson, CATCII
Stanford Jackson, CATCII is an Addiction (Substance Use Disorder) Counselor in Long Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
2008 Pacific AveLong Beach, CA 90806-4610
Phone: (562) 591-0011
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 123332 II (CA) |
|---|
Record details
| NPI number | 1154668671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CATCII |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2013 |
| Last updated in NPPES | January 4, 2013 |
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