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MRS. SHIRLEY JACKSON-POORDAWOOD
NPI 1891900734
Counselor - Addiction (Substance Use Disorder) in Glendale, CA

Active since May 14, 2007
4628 SAN FERNANDO RD, GLENDALE, CA 91204(818) 240-8843 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shirley Jackson-poordawood NPPES

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

MRS. SHIRLEY JACKSON-POORDAWOOD (NPI 1891900734) is an individual addiction (substance use disorder) provider in Glendale, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1891900734
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. SHIRLEY JACKSON-POORDAWOOD
Location Address4628 SAN FERNANDO RDGlendale, CA 91204-1822
Mailing Address10820 De Haven AveHansen Hills, CA 91331-2009
Phone(818) 240-8843
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateMay 21, 2010
✔ NPI 1891900734 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
4628 SAN FERNANDO RD, Glendale, CA 91204
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENICK NAZARI
Counselor (Addiction (Substance Use Disorder))
4628 SAN FERNANDO RD
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
MR. YSIDRO NIETO
Counselor (Addiction (Substance Use Disorder))
4628 SAN FERNANDO RD
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
MR. LEO VORAPON SAGNANERT
Counselor (Addiction (Substance Use Disorder))
4628 SAN FERNANDO RD
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
EARNEST WINSTON
Counselor (Addiction (Substance Use Disorder))
4628 SAN FERNANDO RD
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
ARMEN MENDILIAN
Counselor (Addiction (Substance Use Disorder))
4628 SAN FERNANDO RD
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
BIOMED LAB
Clinical Medical Laboratory
4628 SAN FERNANDO RD
GLENDALE, CA 91204
Los Angeles County (818) 334-3244

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 Shirley Jackson-poordawood's NPI number?

The NPI number for Shirley Jackson-poordawood is 1891900734. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Shirley Jackson-poordawood located?

Shirley Jackson-poordawood practices at 4628 San Fernando Rd, Glendale, CA 91204. The listed phone number is (818) 240-8843.

What is Shirley Jackson-poordawood'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 Shirley Jackson-poordawood was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.