Individual provider · Type 1 NPI

Blaire Jackson, CAC

Addiction (Substance Use Disorder) Counselor · Tampa, FL

NPI number 1245599547 Active

Practice location

5707 N 22nd St
Tampa, FL 33610-4350

Call (813) 239-8069 Map

Fax (813) 239-8514

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAC 1335 (LA)

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

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About NPI 1245599547

Blaire Jackson, CAC's National Provider Identifier is 1245599547, issued on May 8, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tampa, FL. The record was last updated on Jul 14, 2015.