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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE JACKSON

Active

JACKIE JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LOMPOC, California. NPI 1356476501 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · LOMPOC, CA

Registration Details

NPI Number
1356476501
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2007 (19.293912508041 yrs)
Last Updated
Aug 12, 2009

Practice Information

Address
604 W OCEAN AVE
LOMPOC, CA, 934366630
Browse CA providers · Browse ZIP 93436
Phone
8053468185
Fax
8053468656

Other Addiction (Substance Use Disorder) Counselor Providers in LOMPOC, CA

Name Credential NPI
MRS. JEANIE MARIE SLEIGH LMHP, CADCII 1023178910
MRS. LINDA JEAN BROWN RAS 1245373265
MS. TURTLE K A. KLEIN 1639214539
MISS JENNIFER LYNN BARRETTO 1053446294
MR. LARRY WAYNE COLBERT CADC-II 1801922182
DAVID MONTEE 1942411640
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.