MRS. SHIRLEY JACKSON-POORDAWOOD NPI 1891900734

NPI Information

NPI: 1891900734
Provider Name: MRS. SHIRLEY JACKSON-POORDAWOOD
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4628 SAN FERNANDO RD
GLENDALE, CA
ZIP 91204
Phone: (818) 240-8843
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MRS. Shirley Jackson-poordawood is an addiction (substance use disorder) counselor in Glendale, CA. MRS. Shirley Jackson-poordawood NPI is 1891900734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4628 SAN FERNANDO RD
GLENDALE, CA
ZIP 91204-822
Phone: (818) 240-8843

The enumeration date for this NPI number is 5/14/2007 and was last updated on 5/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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