Charleston R Jackson in Westlake Village - Addiction (substance Use Disorder)

Charleston R Jackson - NPI 1528288107

Charleston R Jackson is a Addiction (substance Use Disorder) in Westlake Village, California. Charleston R Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Charleston R Jackson is 1528288107. The last update date is 2007-07-08.

Charleston R Jackson's current location address is 5655 Lindero Canyon Rd Ste 302, Westlake Village, California. You can contact this provider via phone number 8189976876. The mailing address for Charleston R Jackson is 5655 Lindero Canyon Rd Ste 302, Westlake Village, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charleston R Jackson
Address 5655 Lindero Canyon Rd Ste 302, Westlake Village, California
Phone Number 8189976876
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1528288107
Provider Enumeration Date 2007-04-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5655 Lindero Canyon Rd Ste 302
City Westlake Village
State California (CA)
Post Code 913624045
Phone Number 8189976876
Fax Number

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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7112 CA PROVIDER NUMBER

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FAQs about Charleston R Jackson

What is the unique 10-digit identification code assigned to Charleston R Jackson by the Centers for Medicare & Medicaid Services?

The Charleston R Jackson has been issued the NPI (National Provider Identifier) 1528288107, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Charleston R Jackson is physically located?

The Charleston R Jackson is situated at the following address: 5655 Lindero Canyon Rd Ste 302, Westlake Village, CA 913624045.

What is Charleston R Jackson's area of expertise and its corresponding taxonomy classification?

The Charleston R 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.

When did the Charleston R Jackson receive its 1528288107?

The Charleston R Jackson was issued its 1528288107 on 2007-04-26, which is the date when the organization was assigned this unique identifier.

As of what date were the Charleston R Jackson's details last updated?

The information pertaining to the Charleston R Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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