Individual provider · Type 1 NPI

Carol Denise Jackson, ACADC

Addiction (Substance Use Disorder) Counselor · Des Moines, IA

NPI number 1487980652 Active

Practice location

1522 17th Street
Des Moines, IA 50314-0000

Call (515) 279-0335 Map

Mailing address

1522 17th St
Des Moines, IA 50314-1418

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X92151 (IA)

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

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About NPI 1487980652

Carol Denise Jackson, ACADC's National Provider Identifier is 1487980652, issued on Oct 23, 2009. 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 23, 2009.