Individual provider · Type 1 NPI
Adriaenna Jackson-Adams
Addiction (Substance Use Disorder) Counselor · Roxbury, MA
NPI number
1366813289
Active
Practice location
520 Dudley St
Roxbury, MA 02119-2769
Fax (617) 445-2672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 25725 |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366813289
Adriaenna Jackson-Adams's National Provider Identifier is 1366813289, issued on Oct 19, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roxbury, MA. The record was last updated on Nov 10, 2015.