Individual provider · Type 1 NPI

Gail M. Jackson, MA

Addiction (Substance Use Disorder) Counselor · Philadelphia, PA

NPI number 1417037185 Active

Practice location

Belmont Center, 4200 Monument Road
Philadelphia, PA 19131

Call (215) 581-5479 Map

Fax (215) 581-3827

Mailing address

600 Portland Dr
Downingtown, PA 19335-4816

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XPC001382 (PA)

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

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About NPI 1417037185

Gail M. Jackson, MA's National Provider Identifier is 1417037185, issued on Oct 17, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.