Anthony Jackson in Sacramento - Addiction (substance Use Disorder)
Anthony Jackson - NPI 1245307073
Anthony Jackson is a Addiction (substance Use Disorder) in Sacramento, California. Anthony Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Anthony Jackson is 1245307073. The last update date is 2007-07-08.
Anthony Jackson's current location address is 2237 River Plaza Dr, Sacramento, California. You can contact this provider via phone number 9163914293 and fax number 9163914247. The mailing address for Anthony Jackson is 2237 River Plaza Dr, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Jackson |
|---|---|
| Address | 2237 River Plaza Dr, Sacramento, California |
| Phone Number | 9163914293 |
| Fax Number | 9163914247 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245307073 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2237 River Plaza Dr |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958333836 |
| Phone Number | 9163914293 |
| Fax Number | 9163914247 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 5076 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5076 | CA | CAARR |
Post Comment/ Review Below
What is the Anthony Jackson's unique identification number?
The Anthony Jackson has been assigned the NPI (National Provider Identifier) Number 1245307073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Anthony Jackson located?
The Anthony Jackson is located at 2237 River Plaza Dr, Sacramento, CA 958333836.
What is Anthony Jackson's area of expertise and its corresponding taxonomy classification?
The Anthony Jackson's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Anthony Jackson receive its 1245307073 assignment from the Centers for Medicare & Medicaid Services?
The Anthony Jackson was assigned its 1245307073 by the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the Anthony Jackson's details last updated?
The information pertaining to the Anthony Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.