Individual provider · Type 1 NPI

Isaac L. Jackson, LCAS-A

Addiction (Substance Use Disorder) Counselor · Raeford, NC

NPI number 1093066037 Active

Practice location

113 W Elwood Ave
Raeford, NC 28376-2801

Fax (910) 848-1639

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2199-A (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093066037

Isaac L. Jackson, LCAS-A's National Provider Identifier is 1093066037, issued on Oct 1, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raeford, NC. The record was last updated on Oct 1, 2012.