Individual provider · Type 1 NPI

Taylor Jackson

Addiction (Substance Use Disorder) Counselor · Rock Island, IL

NPI number 1265155246 Active

Practice location

2701 17th St
Rock Island, IL 61201-5351

Call (309) 779-3001 Map

Mailing address

302 S Elmwood Ave
Davenport, IA 52802-2127

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1265155246

Taylor Jackson's National Provider Identifier is 1265155246, issued on Sep 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rock Island, IL. The record was last updated on Sep 23, 2022.