Anthony Jackson
Counselor, Addiction (Substance Use Disorder) in Sacramento, CA. Individual provider (NPI-1).
NPI number1245307073
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245307073
- Entity type
- Individual (NPI-1)
- Name
- Mr. Anthony Jackson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 5076 | CA | Yes |
Practice location
2237 River Plaza DrSacramento, CA 95833-3836
Phone 916-391-4293 · Fax 916-391-4247
Mailing address
2237 River Plaza DrSacramento, CA 95833-3836
Phone 916-391-4293 · Fax 916-391-4247
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