Timothy Wayne Jackson
Timothy Wayne Jackson is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2772 S Martin L King Jr BlvdFresno, CA 93706-5345
Phone: (559) 265-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 16460 (CA) |
|---|
Record details
| NPI number | 1124809363 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2023 |
| Last updated in NPPES | October 12, 2023 |
| Certification date | October 12, 2023 |
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