Individual provider · Type 1 NPI

Eric Gregory Jacklin, CAC, ICADC, MS, LADC

Addiction (Substance Use Disorder) Counselor · Farmington, CT

NPI number 1235725607 Active

Practice location

1789 New Britain Ave
Farmington, CT 06032-3317

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

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

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About NPI 1235725607

Eric Gregory Jacklin, CAC, ICADC, MS, LADC's National Provider Identifier is 1235725607, issued on Dec 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Farmington, CT. The record was last updated on Feb 17, 2023.