Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY D JACKSON
ActiveGARY D JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in EL MONTE, California. NPI 1033462932 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · EL MONTE, CA
Registration Details
- NPI Number
- 1033462932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2012 (13.824013739585 yrs)
- Last Updated
- Oct 17, 2012
- License
-
3055-R (CA)
Practice Information
- Address
-
4610 SANTA ANITA BLVD, SUITE DEL MONTE, CA, 91731Browse CA providers · Browse ZIP 91731
- Phone
- 6264533432
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in EL MONTE, CA
| Name | Credential | NPI |
|---|---|---|
| DAPHNE ANNE TANORI | CATC II | 1902953276 |
| ANTHONY RAY RUIZ | — | 1285783035 |
| MISS SONIA RODRIGUEZ | A.A. DEGREE | 1083759229 |
| MRS. DEBORAH KATHLEEN WRIGHT | DRUG & ALCOHOL CERTI | 1124154380 |
| MISS MONA L. GRIMMITT | — | 1215063946 |
| LOUIS MOODY | — | 1003938135 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.