Individual provider · Type 1 NPI

Derek Luther Jackson, B.S.

Addiction (Substance Use Disorder) Counselor · Hayti, MO

NPI number 1356859326 Active

Practice location

581 Highway J North
Hayti, MO 63851

Call (573) 359-2600 Map

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 1356859326

Derek Luther Jackson, B.S.'s National Provider Identifier is 1356859326, issued on Jan 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hayti, MO. The record was last updated on Jan 12, 2018.