Ty'Shunna Jackson
Ty'Shunna Jackson is an Addiction (Substance Use Disorder) Counselor in Venice, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
717 Lincoln BlvdVenice, CA 90291-2845
Phone: (310) 399-9883
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1154518835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2007 |
| Last updated in NPPES | September 26, 2007 |
| Mailing address | 26460 Summit Cir, Santa Clarita, CA 91350-2991 |
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