Individual provider · Type 1 NPI
Natacha Jackson
Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
NPI number
1285098798
Active
Practice location
180 Fairfield Ave
Bridgeport, CT 06604-4252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 001179 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1285098798
Natacha Jackson's National Provider Identifier is 1285098798, issued on Apr 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 11, 2016.