Bryan Edward Jackson in Pittsburg - Addiction (substance Use Disorder)

Bryan Edward Jackson - NPI 1942351671

Bryan Edward Jackson is a Addiction (substance Use Disorder) in Pittsburg, California. Bryan Edward Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bryan Edward Jackson is 1942351671. The last update date is 2007-07-08.

Bryan Edward Jackson's current location address is 2223 Lynbrook Dr, Pittsburg, California. You can contact this provider via phone number 9255659348 and fax number 4152066875. The mailing address for Bryan Edward Jackson is 2223 Lynbrook Dr, Pittsburg, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan Edward Jackson
Address 2223 Lynbrook Dr, Pittsburg, California
Phone Number 9255659348
Fax Number 4152066875
Sole Proprietor Y
Credentials BRIENING

NPI Number Detail

NPI Number 1942351671
Provider Enumeration Date 2007-01-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2223 Lynbrook Dr
City Pittsburg
State California (CA)
Post Code 945655303
Phone Number 9255659348
Fax Number 4152066875

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Bryan Edward Jackson

What is the unique identifier code issued to Bryan Edward Jackson by the Centers for Medicare & Medicaid Services?

The Bryan Edward Jackson has been assigned the NPI (National Provider Identifier) 1942351671. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Bryan Edward Jackson's facilities are situated?

The facilities of Bryan Edward Jackson are physically located at the following address: 2223 Lynbrook Dr, Pittsburg, CA, 945655303.

What is Bryan Edward Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bryan Edward Jackson is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date was the 1942351671 assigned to Bryan Edward Jackson?

The Bryan Edward Jackson was issued its 1942351671 on 2007-01-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Bryan Edward Jackson most recently updated?

The details pertaining to the Bryan Edward Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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