Theo Jackson
Theo Jackson is an Addiction (Substance Use Disorder) Counselor in Santa Cruz, California. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
200 7th AveSanta Cruz, CA 95062-4668
Phone: (831) 462-1060
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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 | 1083966261 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2012 |
| Last updated in NPPES | October 11, 2012 |
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