BAHATI JACKSON

OAKLAND, CA
NPI1447702196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-28
Last Update Date2016-10-28
Business Address
-- BAHATI JACKSON
7501 INTERNATIONAL BLVD
OAKLAND, CA 94621-2843
Phone number: 510-729-8800
Mailing Address
-- BAHATI JACKSON
7501 INTERNATIONAL BLVD
OAKLAND, CA 94621-2843
Phone number: 510-729-8800