Individual provider · Type 1 NPI

James Joseph Jackson Jr., LCDC

Addiction (Substance Use Disorder) Counselor · Austin, TX

NPI number 1275730541 Active

Practice location

3000 Oak Springs Dr
Austin, TX 78702-2531

Call (512) 804-3523 Map

Fax (512) 804-3590

Mailing address

PO Box 3548
Austin, TX 78764-3548

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7431 (TX)

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

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About NPI 1275730541

James Joseph Jackson Jr., LCDC's National Provider Identifier is 1275730541, issued on Jun 29, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.