| Frederick Jackson, | |
|
2090 Commerce Ave, Concord, CA 94520-4902 | |
| (925) 676-2580 | |
| (925) 798-3359 |
| Full Name | Frederick Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2090 Commerce Ave, Concord, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225574759 | NPI | - | NPPES |
| R1239870916 | Other | CA | CCAPP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1239870916 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Jackson, 2090 Commerce Ave, Concord, CA 94520-4902 Ph: (925) 676-2580 | Frederick Jackson, 2090 Commerce Ave, Concord, CA 94520-4902 Ph: (925) 676-2580 |
Christina Lindemuth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1034 Oak Grove Rd., Concord, CA 94518 Phone: 925-914-1337 | |
Melissa Lienhard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 Oak Grove Rd, Concord, CA 94518 Phone: 925-858-5682 | |
Adriana Guadalupe Frias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1034 Oak Grove Rd, Concord, CA 94518 Phone: 925-603-1900 | |
Mrs. Anshu Mathur, MFT INTERN Counselor Medicare: Medicare Enrolled Practice Location: 2086 Commerce Ave, Concord, CA 94520 Phone: 925-827-0212 Fax: 925-827-1122 | |
Stephania Ponce - Jauregui, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1959 Solano Way, Concord, CA 94520 Phone: 925-676-9768 | |
Robert Riutta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2086 Commerce Ave, Concord, CA 94520 Phone: 925-827-0212 | |
Mr. Kyle Anthony Barker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1034 Oak Grove Rd, Concord, CA 94518 Phone: 925-603-1900 |