Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS SELENA JACKSON, BREININGINSTITUTE
Active Sole ProprietorMISS SELENA JACKSON, BREININGINSTITUTE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LAKEPORT, California. NPI 1386810208 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LAKEPORT, CA
Registration Details
- NPI Number
- 1386810208
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2008 (18.112294151603 yrs)
- Last Updated
- May 2, 2017
- License
-
RI-J0803091809 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
390 N FORBES STLAKEPORT, CA, 954534724Browse CA providers · Browse ZIP 95453
- Phone
- 7079945486
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Counselor
- Additional Specialty
- Case Manager
Other Addiction (Substance Use Disorder) Counselor Providers in LAKEPORT, CA
| Name | Credential | NPI |
|---|---|---|
| RICHARD ALLAN DIWALD | RAS | 1861558678 |
| MR. ARMOND THOMAS URBANO | CAS,RAS | 1881750586 |
| JAMES HOWARD PITMAN | RAS | 1902962541 |
| MS. DEBRA ANN TOWNSEL | — | 1710173299 |
| MARI ELLEN SCHOLVINCK | NAADAC | 1689822991 |
| KATHRYN GRAHAM | AOD COUNSELOR | 1295186922 |
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.