Search › California › 101YP1600X
Jerome Jackson, PHD
NPI 1518292796 · on the registry since 2009
Practice
- Address
- 3838 N West Ave
Fresno, CA 93705 - Phone
- (559) 307-3482
- Fax
- (559) 294-0303
- Organisation at this address
- Antioch Substance Abuse Programs
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP1600X
101YP1600X
- Also registered as
- 101YA0400X
- Sex
- Male
- Record last updated
- 2009-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California