Individual provider · Type 1 NPI

Lisa Nanches Jackson

Addiction (Substance Use Disorder) Counselor · Washington, DC

NPI number 1376236281 Active

Practice location

920 Bellevue St SE
Washington, DC 20032-6030

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCACII1408 (DC)

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About NPI 1376236281

Lisa Nanches Jackson's National Provider Identifier is 1376236281, issued on May 29, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Washington, DC. The record was last updated on Dec 3, 2024.