Lookup NPI Numbers from the NPI Registry
NPI Profile for RONALD W JACKSON in SAN BERNARDINO, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Prevention Professional |
405300000X |
| NPI # | 1922647346 |
|
| Status | Active | |
| Credentials | RADT | |
| Entity | Individual | |
| Enumeration date | 01/02/2020 | |
| Last updated | 02/22/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RONALD W JACKSON
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RONALD W JACKSON, RADT