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JACKIE FICKES
NPI 1679973564
Counselor - Addiction (Substance Use Disorder) in Rodeo, CA

Active since August 27, 2014
913 HAWTHORNE DR, RODEO, CA 94572(925) 246-3621 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Fickes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE FICKES (NPI 1679973564) is an individual addiction (substance use disorder) provider in Rodeo, California and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1679973564
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE FICKES
Location Address913 HAWTHORNE DRRodeo, CA 94572-1709
Mailing Address913 Hawthorne DrRodeo, CA 94572-1709 · (925) 246-3621
Phone(925) 246-3621
Sole ProprietorNo
Enumeration DateAugust 27, 2014
✔ NPI 1679973564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
913 HAWTHORNE DR, Rodeo, CA 94572
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Fickes's NPI number?

The NPI number for Jackie Fickes is 1679973564. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Jackie Fickes located?

Jackie Fickes practices at 913 Hawthorne Dr, Rodeo, CA 94572. The listed phone number is (925) 246-3621.

What is Jackie Fickes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jackie Fickes was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.