Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWANA JACKSON
Active Sole ProprietorSHAWANA JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in HAWTHORNE, California. NPI 1659730414 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · HAWTHORNE, CA
Registration Details
- NPI Number
- 1659730414
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2016 (10.472830087992 yrs)
- Last Updated
- Feb 22, 2016
- License
-
CAADE 5365-R (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13715 CORDARY AVE APT 246HAWTHORNE, CA, 902507419Browse CA providers · Browse ZIP 90250
- Phone
- 3106610441
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in HAWTHORNE, CA
| Name | Credential | NPI |
|---|---|---|
| IRENE STEPHAN | — | 1437295847 |
| MRS. OBIAGELI IFEOMA OBAH | NP | 1417089871 |
| PATRICIA PERDOMO | — | 1437377066 |
| MR. JULIUS ENYERIBE CHUKWU | BSC.(HONS) | 1962629675 |
| MS. ROSE NEH NDISANG | B.A. | 1851519508 |
| MR. LEROY LOVE JR. | A.S | 1952529570 |
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.