Jackie Fickes

NPI #1679973564 in Rodeo, California

Provider Information

NPI Number: 1679973564
Entity Type: Individual
Name: Jackie Fickes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Aug 27, 2014
Last Updated: Aug 27, 2014

Practice Location

Address: 913 HAWTHORNE DR
City: Rodeo
State: California
ZIP Code: 94572-1709
Phone: (925) 246-3621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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