Individual provider · Type 1 NPI

Lazarus Jackson

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1265330484 Active

Practice location

770 E 176th St
Bronx, NY 10460-4617

Call (718) 583-5150 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X42682 (NY)

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

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About NPI 1265330484

Lazarus Jackson's National Provider Identifier is 1265330484, issued on Oct 28, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Oct 28, 2026.