Wanda Lavina Jackson
Wanda Lavina Jackson is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
4441 Auburn Blvd Ste ESacramento, CA 95841-4139
Phone: (916) 473-5764
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence B0000390819 (CA) |
|---|
Record details
| NPI number | 1699483040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 14, 2022 |
| Last updated in NPPES | November 14, 2022 |
| Certification date | November 14, 2022 |
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