Individual provider · Type 1 NPI

John T. Jackson, CAC-1

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1407986037 Active

Practice location

13575 Lesure St
Detroit, MI 48227-3131

Fax (313) 493-4415

Specialties and licenses

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

Addiction (Substance Use Disorder) Counselor: Definition to come...

22 other providers at this address

Other addiction (substance use disorder) counselor providers in Detroit

See all in Detroit →

About NPI 1407986037

John T. Jackson, CAC-1's National Provider Identifier is 1407986037, issued on Mar 6, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.