Stacie Jackson
NPI #1073292306 in Pomona, California
Provider Information
- NPI Number
- 1073292306
- Entity Type
- Individual
- Name
- Stacie Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jul 13, 2023
- Last Updated
- Apr 18, 2024
Practice Location
- Address
- 831 E ARROW HWY
- City
- Pomona
- State
- California
- ZIP Code
- 91767-2535
- Phone
- (909) 398-4383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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