Individual
ASHLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2121
Mailing address
3021 MARS HILL ST, MODESTO, CA 95355-7801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22343
CA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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