Individual provider · Type 1 NPI
Craig Jackson, B.S., C.A.D.C.
Addiction (Substance Use Disorder) Counselor · Des Moines, IA
NPI number
1386030997
Active
Practice location
1409 Clark St
Des Moines, IA 50314-1964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20064 (IA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386030997
Craig Jackson, B.S., C.A.D.C.'s National Provider Identifier is 1386030997, issued on Apr 9, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Des Moines, IA. The record was last updated on Oct 22, 2021.