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Fatema Jackson

Counselor, Addiction (Substance Use Disorder) in Oakland, CA. Individual provider (NPI-1).

NPI number1861925281
StatusActive
Last updated in NPPESApr 4, 2017

Details

NPI
1861925281
Entity type
Individual (NPI-1)
Name
Fatema Jackson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 4, 2017
Last updated
Apr 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

9442 International Blvd
Oakland, CA 94603-1444

Phone 510-777-8448

Mailing address

9442 International Blvd
Oakland, CA 94603-1444

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